Individual
VANESSA BOUCHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
40060 NATIONAL RD, BETHESDA, OH 43719-9763
(740) 782-0092
Mailing address
40060 NATIONAL RD, BETHESDA, OH 43719-9763
(740) 782-0092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1200237
OH
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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