Individual
CHRISTINE BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 FOLKSTONE RD APT B, BROAD BROOK, CT 06016-9434
(860) 530-0722
Mailing address
25 FOLKSTONE RD APT B, BROAD BROOK, CT 06016-9434
(860) 530-0722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000964
CT
101YP2500X
Professional Counselor
Primary
002338
CT
Other
Enumeration date
08/31/2011
Last updated
12/16/2024
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