MS. Dail Marie Bouchard, LADC-1, CADAC
NPI #1679880165 in Vineyard Haven, Massachusetts
Provider Information
- NPI Number
- 1679880165
- Entity Type
- Individual
- Name
- MS. Dail Marie Bouchard, LADC-1, CADAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC-1, CADAC
- Enumeration Date
- Sep 7, 2010
- Last Updated
- Sep 7, 2010
Practice Location
- Address
- 111 EDGARTOWN VINEYARD HAVEN RD
- City
- Vineyard Haven
- State
- Massachusetts
- ZIP Code
- 02568-4036
- Phone
- (508) 693-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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