Individual provider · Type 1 NPI

Jennifer Marie Bouck, BS

Mental Health Counselor · Brockton, MA

NPI number 1184118259 Active

Practice location

231 Main St Ste 300
Brockton, MA 02301-4342

Call (508) 586-2660 Map

Mailing address

525 S Main St
Mansfield, MA 02048-2826

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184118259

Jennifer Marie Bouck, BS's National Provider Identifier is 1184118259, issued on Jun 21, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Jun 21, 2018.