Individual
MS. ELISSA BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2033 MAIN ST, ATHOL, MA 01331-3535
(978) 249-9490
Mailing address
57 PUTNAM ST APT 4, ORANGE, MA 01364-1648
(978) 790-5332
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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