Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRUCE GREGORY BOUDOUSQUIE, LPC
ActiveBRUCE GREGORY BOUDOUSQUIE, LPC is a Counselor healthcare provider located in HOPE, Idaho. NPI 1669650172 is currently active in the NPPES registry. Verify at CMS.
Counselor · HOPE, ID
Registration Details
- NPI Number
- 1669650172
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2008 (18.522213409864 yrs)
- Last Updated
- May 13, 2016
- Licenses
-
LPC3283 (ID)LCPC-2241 (MT)
Practice Information
- Address
-
43 BASS LNHOPE, ID, 838369689Browse ID providers · Browse ZIP 83836
- Phone
- 2089200666
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.