Boudreau, Rachel
Boudreau, Rachel is an individual health care provider with primary practice located at 17045 Coronado Rd , Eagle River AK 99577-7825. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boudreau, Rachel can be contacted via phone (907) 696-5656.Contact Information
Primary practice address
17045 Coronado Rd
Eagle River AK 99577-7825
Phone: (907) 696-5656
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 206143 | Alaska |
Profile Details
| NPI number | 1356817829 |
|---|---|
| LBN Legal business name | Boudreau, Rachel |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2018 |
| Last updated | Jan 2nd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356817829 | NPPES |
| Alaska | Other | 135825 | LICENSED MASTER SOCIAL WORKER |
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