| Teri Boudreau, Ltd. | |
|
310 N Convent St Bourbonnais IL 60914-2099 | |
| (815) 929-1940 | |
| Not Available |
| Full Name | Teri Boudreau, Ltd. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 310 N Convent St, Bourbonnais, Illinois |
| Authorized Official Name and Position | Teri Dean Boudreau (LICENSED CLINICAL PROFESSIONAL COUN) |
| Authorized Official Contact | 8159291940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teri Boudreau, Ltd. Po Box 334 Bradley IL 60915-0334 Ph: (815) 929-1940 | Teri Boudreau, Ltd. 310 N Convent St Bourbonnais IL 60914-2099 Ph: (815) 929-1940 |
| NPI Number | 1346436672 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 12/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346436672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180003442 (Illinois) | Primary |
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