Jason Andrew Boucher, LMFT
NPI #1588853063 in Willimantic, Connecticut
Provider Information
- NPI Number
- 1588853063
- Entity Type
- Individual
- Name
- Jason Andrew Boucher, LMFT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Oct 19, 2007
- Last Updated
- Jun 6, 2014
Practice Location
- Address
- 40 MANSFIELD AVE
- City
- Willimantic
- State
- Connecticut
- ZIP Code
- 06226-2018
- Phone
- (860) 450-0585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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