| Dr Charles Anthony Boudreaux Jr, | |
|
431 N State St, Jackson, MS 39201-1108 | |
| (601) 949-1949 | |
| (601) 714-6922 |
| Full Name | Dr Charles Anthony Boudreaux Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 431 N State St, Jackson, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174647432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0980 (Mississippi) | Primary |
| 106H00000X | Marriage & Family Therapist | T0023 (Mississippi) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Anthony Boudreaux Jr, 301 Remington Dr, Brandon, MS 39042-2865 Ph: (601) 949-1949 | Dr Charles Anthony Boudreaux Jr, 431 N State St, Jackson, MS 39201-1108 Ph: (601) 949-1949 |
Mrs. Denease Inez Bishop, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1855 Lakeland Dr, Suite P101, Jackson, MS 39216 Phone: 601-278-6790 | |
Robert Caleb Cauthen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1513 Lakeland Dr, Jackson, MS 39216 Phone: 769-777-1000 | |
Diane Lois Sanford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 E River Pl Ste 100, Jackson, MS 39202 Phone: 769-251-5550 | |
Jamaal Murriel, MS,PCAT, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1935 Lakeland Dr, Jackson, MS 39216 Phone: 601-718-2468 | |
Cheryl Marie Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 341 Edgewood Terrace Dr, Jackson, MS 39206 Phone: 601-487-6344 Fax: 601-398-0289 | |
Mr. Dennis Morgan Hydrick Jr., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1465 Lakeland Dr, Jackson, MS 39216 Phone: 601-573-8548 Fax: 601-968-0021 | |
Ms. Delesia S Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 E River Pl Ste 100, Jackson, MS 39202 Phone: 769-251-5550 |