Individual provider · Type 1 NPI

Johnda Ann Bouthillier, LCSW, LADC

Addiction (Substance Use Disorder) Counselor · Norwich, CT

NPI number 1376582742 Active

Practice location

47 Town St
Norwich, CT 06360-2315

Call (860) 892-7042 Map

Fax (860) 892-7043

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X000505 (CT)
Clinical Social Worker 1041C0700X003961 (CT)

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

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About NPI 1376582742

Johnda Ann Bouthillier, LCSW, LADC's National Provider Identifier is 1376582742, issued on Jun 4, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Norwich, CT. The record was last updated on Sep 11, 2025.