Jannifer L Boucher, LPC
NPI #1588994800 in Great Bend, Kansas
Provider Information
- NPI Number
- 1588994800
- Entity Type
- Individual
- Name
- Jannifer L Boucher, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jan 8, 2010
- Last Updated
- Apr 14, 2015
Practice Location
- Address
- 1905 19TH ST
- City
- Great Bend
- State
- Kansas
- ZIP Code
- 67530-2502
- Phone
- (620) 792-5700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
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