Individual
JENNIFER BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
6712 KIMBALL DR, GIG HARBOR, WA 98335-1212
(253) 858-2224
(253) 858-2254
Mailing address
6712 KIMBALL DR, GIG HARBOR, WA 98335-1212
(253) 858-2224
(253) 858-2254
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60123453
WA
Other
Enumeration date
12/10/2007
Last updated
03/23/2012
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