Individual provider · Type 1 NPI
Alixandra Boucher
Professional Counselor · Philadelphia, PA
NPI number
1023728029
Active
Practice location
4601 Market St
Philadelphia, PA 19139-4636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MH11666 (MA) |
| Professional Counselor Primary | 101YP2500X | PC015305 (PA) |
Professional Counselor: Definition to come...
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About NPI 1023728029
Alixandra Boucher's National Provider Identifier is 1023728029, issued on Nov 30, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on May 9, 2023.