Individual provider · Type 1 NPI
Christine Boucher
Professional Counselor · Broad Brook, CT
NPI number
1619258993
Active
Practice location
25 Folkstone Rd Apt B
Broad Brook, CT 06016-9434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000964 (CT) |
| Professional Counselor Primary | 101YP2500X | 002338 (CT) |
Professional Counselor: Definition to come...
Other professional counselor providers in Broad Brook
About NPI 1619258993
Christine Boucher's National Provider Identifier is 1619258993, issued on Aug 31, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Broad Brook, CT. The record was last updated on Dec 16, 2024.