Individual provider · Type 1 NPI

Margery Dee Elledge Boucher, MA, MS, LPC

Mental Health Counselor · Dallas, TX

NPI number 1487686184 Active

Practice location

8625 King George Dr, Ste 111
Dallas, TX 75235-2215

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X68192 (TX)
Mental Health Counselor 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487686184

Margery Dee Elledge Boucher, MA, MS, LPC's National Provider Identifier is 1487686184, issued on Jul 6, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Sep 27, 2011.