MEDICARE: JOLIE BETH BOUDREAUX L.P.C

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
1	101YP2500X	Professional Counselor	LPC.0012065	CO

General Provider Information

NPI Number	:	1659678589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOLIE BETH BOUDREAUX L.P.C

Provider Business Mailing Address
First Line	:	2902 GOLDEN HARVEST LN
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-3137
Country	:	US
Telephone Number	:	405-410-6378
Fax Number	:

Provider Business Practice Location Address
First Line	:	2902 GOLDEN HARVEST LN
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-3137
Country	:	US
Telephone Number	:	405-410-6378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2011
Last Update Date	:	02/06/2022

Similar Medicare Providers

1073479689 — JANE NESVOG ATC
Practice Location Address:

2914 GOLDEN HARVEST LN
FORT COLLINS, CO
80528-3137

Practice Phone: 970-222-1011
Practice Fax:

1982236451 — EMILY FAWAZ OT
Practice Location Address:

3137 EAGLE DR
FORT COLLINS, CO
80526-2815

Practice Phone: 301-646-7016
Practice Fax:

1699418640 — FOOTPRINTS THERAPY SERVICES LLC
Practice Location Address:

3137 EAGLE DR
FORT COLLINS, CO
80526-2815

Practice Phone: 301-646-7016
Practice Fax:

1578422192 — CHELSEA SANDLER
Practice Location Address:

525 NE 7TH ST APT 1709
FORT LAUDERDALE, FL
33304-3137

Practice Phone: 646-431-7776
Practice Fax:

1659371490 — DR. RONALD L ANTINONE M.D.
Practice Location Address:

901 TRAVIS AVE
FORT WORTH, TX
76104-3137

Practice Phone: 817-338-0322
Practice Fax: 817-338-0624

1417930900 — LAURIE BOQUET DORY M.D.
Practice Location Address:

901 TRAVIS AVE
FORT WORTH, TX
76104-3137

Practice Phone: 817-332-5585
Practice Fax: 817-332-5377

Directions to “ JOLIE BETH BOUDREAUX L.P.C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.