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SU YONG BOUDREAU
NPI 1336535210
Marriage & Family Therapist in La Jolla, CA

Active since April 08, 2015
1140 WALL ST # 355, LA JOLLA, CA 92037(858) 218-0863 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2022, Jul 13, 2018, Feb 22, 2018 (3 updates tracked since 2018).

About Su Yong Boudreau NPPES

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

SU YONG BOUDREAU (NPI 1336535210) is an individual marriage & family therapist in La Jolla, California, licensed in California (LMFT128747) and active in the NPI registry since April 2015. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1336535210
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSU YONG BOUDREAU
Location Address1140 WALL ST # 355La Jolla, CA 92037-4531
Mailing Address1140 Wall St # 355La Jolla, CA 92037-4531 · (858) 218-0863
Phone(858) 218-0863
Sole ProprietorNo
Enumeration DateApril 8, 2015
Last NPPES UpdateSeptember 13, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1336535210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · LMFT128747
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1140 WALL ST # 355, La Jolla, CA 92037
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Secondary Practice Location 1

Location 1892 27th StSan Diego, CA 92154 · Phone (619) 575-4687

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Su Boudreau's NPI number?

The NPI number for Su Boudreau is 1336535210. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Su Boudreau located?

Su Boudreau practices at 1140 Wall St # 355, La Jolla, CA 92037. The listed phone number is (858) 218-0863.

What is Su Boudreau's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Su Boudreau was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.