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NPI Code Detail

MEDICARE: CAMRY BOUDY

MEDICARE: CAMRY BOUDY
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
1101YM0800XMental Health Counselor
2101YM0800XMental Health Counselor86103TX

General Provider Information

NPI Number : 1962952903
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMRY BOUDY
Provider Business Mailing Address
First Line : 111 OAK ST
Second Line :
City : MCCOMB
State : MS
Zip : 39648-3736
Country : US
Telephone Number : 985-707-3961
Fax Number :
Provider Business Practice Location Address
First Line : 4411 DACOMA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77092-8611
Country : US
Telephone Number : 713-686-9194
Fax Number : 713-686-9413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2016
Last Update Date : 02/15/2024

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Directions to “ CAMRY BOUDY ” Practice Location

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