Search › Mississippi › 101YP2500X
Charles Boudreaux
NPI 1174647432 · on the registry since 2007
Practice
- Address
- 431 N State St
Jackson, MS 39201 - Phone
- (601) 949-1949
- Fax
- (601) 714-6922
- Organisation at this address
- Summit Counseling
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 106H00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi