Individual provider · Type 1 NPI

Debra Boucher

Mental Health Counselor · Gardner, MA

NPI number 1689121196 Active

Practice location

205 School St
Gardner, MA 01440-2781

Mailing address

60 Monson Turnpike Rd
Petersham, MA 01366-9604

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689121196

Debra Boucher's National Provider Identifier is 1689121196, issued on Sep 1, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gardner, MA. The record was last updated on Sep 1, 2016.