Individual provider · Type 1 NPI

Bonnie Boucher

Mental Health Counselor · Albuquerque, NM

NPI number 1548358583 Active

Practice location

10801 Lomas Blvd NE Ste 105
Albuquerque, NM 87112-5474

Call (505) 620-9785 Map

Mailing address

PO Box 11068
Albuquerque, NM 87192-0068

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0065142 (NM)

Mental Health Counselor: Definition to come...

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About NPI 1548358583

Bonnie Boucher's National Provider Identifier is 1548358583, issued on Oct 11, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.