Individual
ERICA LUGENE BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4111 TABLE ROCK RD, COPPERAS COVE, TX 76522-7133
(254) 987-5080
Mailing address
4111 TABLE ROCK RD, COPPERAS COVE, TX 76522-7133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16787
TX
101YP2500X
Professional Counselor
99242
TX
171400000X
Health & Wellness Coach
—
—
374J00000X
Doula
—
—
Other
Enumeration date
08/17/2020
Last updated
08/29/2025
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