Individual
CRYSTAL AMBER BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S./M.S.
Contact information
Practice address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5018
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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