Individual provider · Type 1 NPI

Memory Boucher, MS, BA, ADC

Mental Health Counselor · Fort Smith, AR

NPI number 1720615289 Active

Practice location

19 N 5th St
Fort Smith, AR 72901-2137

Call (479) 785-4083 Map

Mailing address

512 S 16th St
Fort Smith, AR 72901-4628

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1720615289

Memory Boucher, MS, BA, ADC's National Provider Identifier is 1720615289, issued on Mar 25, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Smith, AR. The record was last updated on Mar 25, 2020.