Boudreau, Gillian

Boudreau, Gillian is an sole proprietor health care provider with primary practice located at 364 Dorset St Suite 212, South Burlington VT 05403-6270. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Boudreau, Gillian can be contacted via phone (802) 658-9440.

Contact Information

Primary practice address
364 Dorset St Suite 212 South Burlington VT 05403-6270
Phone: (802) 658-9440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / School 103TS0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048.0072593 Vermont

Profile Details

NPI number 1386893683
LBN Legal business name Boudreau, Gillian
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2008
Last updated May 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386893683 NPPES
Other 12350163 CAQH

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