Johnda Ann Bouthillier in Norwich - Addiction (substance Use Disorder)

Johnda Ann Bouthillier - NPI 1376582742

Johnda Ann Bouthillier is a Addiction (substance Use Disorder) in Norwich, Connecticut. Johnda Ann Bouthillier practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Johnda Ann Bouthillier is 1376582742. The last update date is 2007-07-08.

Johnda Ann Bouthillier's current location address is 47 Town St, Norwich, Connecticut. You can contact this provider via phone number 8608927042 and fax number 8608927043. The mailing address for Johnda Ann Bouthillier is 47 Town St, Norwich, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Johnda Ann Bouthillier
Address 47 Town St, Norwich, Connecticut
Phone Number 8608927042
Fax Number 8608927043
Sole Proprietor N
Credentials LCSW, LADC

NPI Number Detail

NPI Number 1376582742
Provider Enumeration Date 2006-06-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 47 Town St
City Norwich
State Connecticut (CT)
Post Code 63602315
Phone Number 8608927042
Fax Number 8608927043

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 505
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Johnda Ann Bouthillier

What is the unique 10-digit identifier code assigned to Johnda Ann Bouthillier by the Centers for Medicare & Medicaid Services?

The Johnda Ann Bouthillier has been issued the NPI (National Provider Identifier) 1376582742 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Johnda Ann Bouthillier is geographically located?

The Johnda Ann Bouthillier is physically situated at the following location: 47 Town St, Norwich, CT, 63602315.

What is the area of specialization for Johnda Ann Bouthillier, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Johnda Ann Bouthillier is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1376582742 to Johnda Ann Bouthillier?

The Centers for Medicare & Medicaid Services originally issued the 1376582742 to Johnda Ann Bouthillier on 2006-06-04.

As of what date were the details pertaining to Johnda Ann Bouthillier last refreshed?

The information related to the Johnda Ann Bouthillier, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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