Boudrie, Michael Edward

Boudrie, Michael Edward is an sole proprietor health care provider with primary practice located at 2092 S Custer Rd Caring Alternatives, Monroe MI 48161-1831. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Boudrie, Michael Edward can be contacted via phone (734) 242-8711.

Contact Information

Primary practice address
2092 S Custer Rd Caring Alternatives Monroe MI 48161-1831
Fax: (734) 242-3955
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6401001543 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801035097 Michigan

Profile Details

NPI number 1609860436
LBN Legal business name Boudrie, Michael Edward
Credentials CSW LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2005
Last updated Nov 11th, 2010 - about 15 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 1609860436 NPPES
Other 08312005386318 BSBC

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