Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle L Boodry, LPC

Individual provider Professional Counselor · NPI 1104604610

Michelle L Boodry, LPC is a Professional Counselor in Fond Du Lac, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

W8040 Randallwood Ln
Fond Du Lac, WI 54937-9451
Phone: (920) 979-7855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5821--125 (WI)

Record details

NPI number1104604610
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 12, 2023
Mailing addressW8040 Randallwood Ln, Fond Du Lac, WI 54937-9451

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