Individual provider · Type 1 NPI

Tiffany Bouchard, MS, NCC

Mental Health Counselor · Dallas, OR

NPI number 1053759944 Active

Practice location

182 SW Academy St, County Of Polk, Suite 220
Dallas, OR 97338-1922

Call (503) 623-9317 Map

Mailing address

PO Box 421
Monmouth, OR 97361-0421

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
School Counselor 101YS0200XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053759944

Tiffany Bouchard, MS, NCC's National Provider Identifier is 1053759944, issued on Jun 12, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, OR. The record was last updated on Jun 12, 2013.