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Bruce Boudousquie, LPC

NPI 1669650172 · on the registry since 2008

Practice

Address
43 Bass Ln
Hope, ID 83836
Phone
(208) 920-0666

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YP2500X
Licence states on file
ID, MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-13

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 Idaho