Individual provider · Type 1 NPI

Wanda Burleson Bouchard, MA, LCPC, NCC

Counselor · Boise, ID

NPI number 1255852703 Active

Practice location

4477 W Emerald St Ste C250
Boise, ID 83706-2076

Call (208) 991-2301 Map

Mailing address

2982 E Heartleaf Ln
Boise, ID 83716-5065

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC-5859 (ID)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1255852703

Wanda Burleson Bouchard, MA, LCPC, NCC's National Provider Identifier is 1255852703, issued on Jul 5, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Boise, ID. The record was last updated on Oct 1, 2026.