DR. CHARLES ANTHONY BOUDREAUX JR.
NPI 1174647432
Counselor - Professional in Jackson, MS

Active since March 19, 2007
431 N STATE ST, JACKSON, MS 39201(601) 949-1949(601) 714-6922 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Charles Anthony Boudreaux Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES ANTHONY BOUDREAUX JR. (NPI 1174647432) is an individual professional provider in Jackson, Mississippi, licensed in Mississippi (0980) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1174647432
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. CHARLES ANTHONY BOUDREAUX JR.
Location Address431 N STATE STJackson, MS 39201-1108
Mailing Address301 Remington DrBrandon, MS 39042-2865 · (601) 949-1949 · Fax (601) 714-6922
Fax(601) 714-6922
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1174647432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MS · 0980
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License T0023 (MS)
431 N STATE ST, Jackson, MS 39201

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
431 N STATE ST
JACKSON, MS 39201
Counselor (Professional)
431 N STATE ST
JACKSON, MS 39201
Marriage & Family Therapist
431 N STATE ST
JACKSON, MS 39201
Marriage & Family Therapist
431 N STATE ST
JACKSON, MS 39201
Marriage & Family Therapist
431 N STATE ST
JACKSON, MS 39201
Counselor (Professional)
431 N STATE ST
JACKSON, MS 39201
Marriage & Family Therapist
431 N STATE ST
JACKSON, MS 39201
Counselor (Professional)
431 N STATE ST
JACKSON, MS 39201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174647432, enumerated as an "individual" on March 19, 2007.

The provider is located at 431 N STATE ST JACKSON, MS 39201 and the phone number is (601) 949-1949.

Counselor with taxonomy code 101YP2500X and a focus in Professional.