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Jamie J. Boudreau, Ltd
Mental Health Counselor in Bradley, Illinois
NPI 1548454382

Jamie J. Boudreau, Ltd is a Mental Health Counselor based in Bradley, IL and is specialized in Mental Health. Jamie J. Boudreau, Ltd practices in Bradley, IL. The NPI Number for Jamie J. Boudreau, Ltd is 1548454382 and holds a License No. (Illinois).

The current practice location address for Jamie J. Boudreau, Ltd is 183 E North St, Bradley, IL and can be reached out via phone at 815-933-4072 and via fax at 815-933-5564.

Location: 183 E North St, Bradley, IL, 60915-1268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548454382
Provider Name
Jamie J. Boudreau, Ltd
Credential
Provider Entity Type
Organization
Address
183 E North St, Bradley, IL, 60915-1268
Phone Number
815-933-4072
Fax Number
815-933-5564
Provider Enumeration Date
09/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0004623038 01 IL BC/BS OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
183 E North St
City
Bradley
State
Illinois
Zip
60915-1268
Phone Number
815-933-4072
Fax Number
815-933-5564
person
Provider Business Mailing Address Details
Address
183 E North St
City
Bradley
State
Illinois
Zip
60915-1268
Phone Number
815-933-4072
Fax Number
815-933-5564
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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