Individual provider · Type 1 NPI
Jennie Heinze Boucher, MA, LPC
Professional Counselor · Houston, TX
NPI number
1639655814
Active
Practice location
5629 FM 1960 Rd W Ste 231
Houston, TX 77069-4215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 74925 (TX) |
Professional Counselor: Definition to come...
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About NPI 1639655814
Jennie Heinze Boucher, MA, LPC's National Provider Identifier is 1639655814, issued on Jul 11, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Houston, TX. The record was last updated on Jul 11, 2018.