| Doctor Name: | JANE D BOULDIN |
| NPI Number: | 1073522959 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | |
| Business Practice Address: | 2409 Homer Clayton Dr Guntersville, AL - 359762207 |
| Business Phone Number: | 2565823203 |
| Business Fax Number: | 2565823216 |
| Mailing Address: | 44 County Road 630, MENTONE |
| State: | AL |
| Postal Code: | 359842208 |
| Phone Number: | 2566344225 |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |