Individual provider · Type 1 NPI
Elissa Boucher
Professional Counselor · Athol, MA
NPI number
1487442208
Active
Practice location
2033 Main St
Athol, MA 01331-3535
Mailing address
57 Putnam St Apt 4
Orange, MA 01364-1648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1487442208
Elissa Boucher's National Provider Identifier is 1487442208, issued on Apr 30, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Athol, MA. The record was last updated on Apr 30, 2025.