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Individual

MR. CHRISTIAN BAUCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
62 WARE ST, WEST BROOKFIELD, MA 01585
(508) 867-4451
(508) 867-3555
Mailing address
26 KOSTA ST, WORCESTER, MA 01607
(508) 757-7562
(508) 867-3555

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5933
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1895711
MA
Enumeration date
03/15/2007
Last updated
07/08/2007
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