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Justin Boudreaux
NPI 1255847463 · on the registry since 2017 · sole proprietor
Practice
- Address
- 530 E 34th St
Joplin, MO 64804 - Phone
- (417) 347-7600
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-12-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri