Individual
CAROL J BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5 COMMODORE DR, SANFORD, ME 04073-5957
(207) 206-9922
Mailing address
PO BOX 1975, WELLS, ME 04090-1975
(207) 206-9922
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4339
ME
Other
Enumeration date
09/13/2012
Last updated
10/30/2020
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