Tiffany Bouchard, MS, NCC

NPI #1053759944 in Dallas, Oregon

Provider Information

NPI Number: 1053759944
Entity Type: Individual
Name: Tiffany Bouchard, MS, NCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MS, NCC
Enumeration Date: Jun 12, 2013
Last Updated: Jun 12, 2013

Practice Location

Address: 182 SW ACADEMY ST
Address 2: COUNTY OF POLK, SUITE 220
City: Dallas
State: Oregon
ZIP Code: 97338-1922
Phone: (503) 623-9317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - School — School	101YS0200X

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