NPI 1003308396

Ellen Boudreaux, CPSSITE

Practitioner Peer Specialist Baton Rouge, LA

Practice location

Address: 711 Colonial Dr STE D, Baton Rouge, LA 70806-6549
Phone: (225) 246-2162
Mailing address: 945 Ridgepoint CT, Baton Rouge, LA 70810-2877

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1003308396
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2018
Record last updated: 1 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.