Teri Boudreau, LCPC
NPI 1295746675 · on the registry since 2006
Practice
- Address
- 21 Heritage Dr
Ste 102
Bourbonnais, IL 60914 - Phone
- (815) 937-8204
- Fax
- (815) 937-8798
- Organisation at this address
- Provena St Marys Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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 Illinois