Individual
ANDREA BOUCHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LCSW
Contact information
Practice address
190 W LOWRY LN STE 200, LEXINGTON, KY 40503-3025
(859) 277-4992
Mailing address
190 W LOWRY LN STE 200, LEXINGTON, KY 40503-3025
(859) 277-4992
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW00001404
KY
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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