Individual
KATHERINE A BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 EUDORA ST, DENVER, CO 80207-2500
(303) 300-6333
Mailing address
4701 E MISSISSIPPI AVE, APT 107, GLENDALE, CO 80246-8206
(802) 363-5417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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