Tasha Boucher, M.S.

NPI #1043342546 in Santa Monica, California

Provider Information

NPI Number
1043342546
Entity Type
Individual
Name
Tasha Boucher, M.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
M.S.
Enumeration Date
Mar 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1339 20TH ST
ZIP Code
90404-2033
Phone
(310) 829-8573

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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