Individual
COURTNEY BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 CYPRESS AVE # STUDIO27, BROOKLYN, NY 11237-2340
(724) 856-1542
Mailing address
125 W 126TH ST APT C, NEW YORK, NY 10027-4412
(774) 365-9994
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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