Individual
ERIN BOUGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
119 WALNUT ST, JOHNSTOWN, PA 15901-1625
(814) 534-0745
Mailing address
608 JUNIPER ST, NORTHERN CAMBRIA, PA 15714-1143
(814) 948-5885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
09/02/2015
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