Individual provider · NPI-1

Dr. Jamal Travis Boudion, Ph.D., LPC, NCC

Counselor, Mental Health · Harvey, LA

NPI number1285453746
StatusActive
Last updated in NPPESOct 10, 2024

Details

NPI
1285453746
Entity type
Individual (NPI-1)
Name
Dr. Jamal Travis Boudion
Credential
Ph.D., LPC, NCC
Sex
Male
Sole proprietor
No
Enumeration date
Oct 10, 2024
Certification date
Oct 10, 2024
Last updated
Oct 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health8190LAYes

Practice location

501 Manhattan Blvd
Harvey, LA 70058-4443

Phone 504-250-7890

Mailing address

905 Beechgrove Blvd Apt E
Westwego, LA 70094-3807

Phone 504-287-9000

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