Boudreaux, Charles Anthony

Boudreaux, Charles Anthony is an individual health care provider with primary practice located at 431 N State St , Jackson MS 39201-1108. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Boudreaux, Charles Anthony can be contacted via phone (601) 949-1949.

Contact Information

Primary practice address
431 N State St Jackson MS 39201-1108
Phone: (601) 949-1949
Fax: (601) 714-6922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0980 Mississippi
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0023 Mississippi

Profile Details

NPI number 1174647432
LBN Legal business name Boudreaux, Charles Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 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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