MR. JAMIE JUDE BOUDREAU M.A. LCPC NPI 1538189170

NPI Information

  • NPI: 1538189170
  • Provider Name: MR. JAMIE JUDE BOUDREAU, M.A., LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: PO BOX 633
    BOURBONNAIS, IL
    ZIP 60914
  • Phone: (815) 933-4072

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NPI Details

MR. Jamie Jude Boudreau, M.A., LCPC is a mental health counselor in Bourbonnais, IL with 31 years of experience. MR. Jamie Jude Boudreau, M.A., LCPC NPI is 1538189170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

PO BOX 633
BOURBONNAIS, IL
ZIP 60914-633
Phone: (815) 933-4072
Fax: (815) 933-5564

The enumeration date for this NPI number is 7/19/2006 and was last updated on 6/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health180-002566ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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