Michelle Elizabeth Boulanger, QMHP
Counselor, Mental Health in Redmond, OR. Individual provider (NPI-1).
NPI number1710692595
StatusActive
Last updated in NPPESJan 17, 2023
Details
- NPI
- 1710692595
- Entity type
- Individual (NPI-1)
- Name
- Michelle Elizabeth Boulanger
- Credential
- QMHP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2023
- Certification date
- Jan 17, 2023
- Last updated
- Jan 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
150 Sw 4th StRedmond, OR 97756-1838
Phone 541-699-6998
Mailing address
150 Sw 4th StRedmond, OR 97756-1838
Phone 541-699-6998 · Fax 541-527-4458
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