Bruce Gregory Boudousquie, LPC is a
Counselor based in Hope, Idaho. Bruce Gregory Boudousquie is licensed to practice in Idaho (license number LPC3283) and his current practice location is
43 Bass Ln, Hope, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 920-0666.
NPI number for Bruce Gregory Boudousquie is 1669650172 and his current mailing address is 43 Bass Ln, Hope, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669650172.
Healthcare Provider's Profile
| Full Name | Bruce Gregory Boudousquie |
|---|
| Gender | Male |
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| Speciality | Counselor |
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| Location | 43 Bass Ln, Hope, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669650172
- Provider Enumeration Date: 02/06/2008
- Last Update Date: 05/13/2016
Medical Identifiers
Medical identifiers for Bruce Gregory Boudousquie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669650172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | LPC3283 (Idaho) | Primary |
| 101YP2500X | Counselor - Professional | LCPC-2241 (Montana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bruce Gregory Boudousquie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bruce Gregory Boudousquie, LPC
43 Bass Ln,
Hope, ID 83836-9689
Ph: (208) 920-0666 | Bruce Gregory Boudousquie, LPC
43 Bass Ln,
Hope, ID 83836-9689
Ph: (208) 920-0666 |
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