Individual
CAITLIN BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
40 HOWARD AVE, CRANSTON, RI 02920-3031
(401) 465-1426
Mailing address
43 N QUIDNESSETT RD, N KINGSTOWN, RI 02852-1511
(401) 465-1426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00988
RI
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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