Individual provider · Type 1 NPI

Samantha Anne Boutin

Professional Counselor · West Hartford, CT

NPI number 1568007367 Active

Practice location

10 N Main St Ste 305
West Hartford, CT 06107-1901

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X46.003996 (CT)

Professional Counselor: Definition to come...

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About NPI 1568007367

Samantha Anne Boutin's National Provider Identifier is 1568007367, issued on Nov 15, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Hartford, CT. The record was last updated on Jan 24, 2020.