Individual provider · Type 1 NPI

Nicole Bouchard

Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA

NPI number 1033342928 Active

Practice location

429 Speers Rd
Santa Rosa, CA 95409-3123

Call (707) 571-2215 Map

Mailing address

PO Box 2587
Santa Rosa, CA 95405-0587

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRI-G0905181439 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033342928

Nicole Bouchard's National Provider Identifier is 1033342928, issued on Aug 26, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 26, 2009.