Individual
COURTNEY VAN HOUTEN BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
5 WICKS END LN, WILTON, CT 06897-2633
(203) 293-0180
Mailing address
5 WICKS END LN, WILTON, CT 06897-2633
(475) 289-8054
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002604
CT
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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