Individual provider · Type 1 NPI

Jacalyn Corrine Boucher, CLINICIAN

Mental Health Counselor · Worcester, MA

NPI number 1760733372 Active

Practice location

250 Commercial St, Suite 200
Worcester, MA 01608-1726

Call (508) 752-4665 Map

Fax (508) 752-0947

Mailing address

76 Summer St Ste 135A
Fitchburg, MA 01420-5783

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1760733372

Jacalyn Corrine Boucher, CLINICIAN's National Provider Identifier is 1760733372, issued on Sep 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Dec 16, 2020.