Individual
MICHELLE BOUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
114 BAY ST, MANCHESTER, NH 03104-3000
(603) 668-0445
(603) 668-0446
Mailing address
114 BAY ST, MANCHESTER, NH 03104-3000
(603) 668-0445
(603) 668-0446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
403
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30422439
—
NH
Enumeration date
09/06/2006
Last updated
07/08/2007
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