Individual
JOSEPH BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1145 RESERVOIR AVENUE, UNIT 305, CRANSTON, RI 02920-6000
(401) 573-9330
Mailing address
1145 RESERVOIR AVENUE, UNIT 305, CRANSTON, RI 02920-6000
(401) 573-9330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
RI
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MCH01003
RI
Other
Enumeration date
05/15/2019
Last updated
07/29/2025
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