Individual
JENNIFER LINNELL BOUCHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
978 EUCLID AVE, CARBONDALE, CO 81623-1839
(970) 963-3350
(970) 963-2958
Mailing address
978 EUCLID AVE, CARBONDALE, CO 81623-1839
(970) 963-3350
(970) 963-2958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09923931
CO
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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