| Jamie J. Boudreau, Ltd | |
|
183 E North St Bradley IL 60915-1268 | |
| (815) 933-4072 | |
| (815) 933-5564 |
| Full Name | Jamie J. Boudreau, Ltd |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 183 E North St, Bradley, Illinois |
| Authorized Official Name and Position | Jamie J. Boudreau (PRESIDENT) |
| Authorized Official Contact | 8159334072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie J. Boudreau, Ltd 183 E North St Bradley IL 60915-1268 Ph: (815) 933-4072 | Jamie J. Boudreau, Ltd 183 E North St Bradley IL 60915-1268 Ph: (815) 933-4072 |
| NPI Number | 1548454382 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 09/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548454382 | NPI | - | NPPES |
| 0004623038 | Other | IL | BC/BS OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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