Boudrie, Michael Edward
Boudrie, Michael Edward is an sole proprietor health care provider with primary practice located at 2092 S Custer Rd Caring Alternatives, Monroe MI 48161-1831. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Boudrie, Michael Edward can be contacted via phone (734) 242-8711.Contact Information
Primary practice address
2092 S Custer Rd Caring Alternatives
Monroe MI 48161-1831
Phone: (734) 242-8711
Fax: (734) 242-3955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6401001543 | Michigan |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6801035097 | Michigan |
Profile Details
| NPI number | 1609860436 |
|---|---|
| LBN Legal business name | Boudrie, Michael Edward |
| Credentials | CSW LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Nov 11th, 2010 - about 16 years ago |
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 | 1609860436 | NPPES |
| Other | 08312005386318 | BSBC |
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