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NPI Code Detail

MEDICARE: MICHAEL ANTHONY BOQUET

MEDICARE: MICHAEL ANTHONY BOQUET
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPLC9743LA

General Provider Information

NPI Number : 1407719867
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ANTHONY BOQUET
Provider Business Mailing Address
First Line : 2133 SILVERSIDE DR STE C
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4179
Country : US
Telephone Number : 225-810-3922
Fax Number :
Provider Business Practice Location Address
First Line : 2133 SILVERSIDE DR STE C
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4179
Country : US
Telephone Number : 225-810-3922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ MICHAEL ANTHONY BOQUET ” Practice Location

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