Mary Jane Boucher in Warwick - Addiction (substance Use Disorder)

Mary Jane Boucher - NPI 1750502241

Mary Jane Boucher is a Addiction (substance Use Disorder) in Warwick, Rhode Island. Mary Jane Boucher practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mary Jane Boucher is 1750502241. The last update date is 2023-12-02.

Mary Jane Boucher's current location address is 15 Sarah Teft Dr, Warwick, Rhode Island. You can contact this provider via phone number 4017375596. The mailing address for Mary Jane Boucher is 15 Sarah Teft Dr, Warwick, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Jane Boucher
Address 15 Sarah Teft Dr, Warwick, Rhode Island
Phone Number 4017375596
Fax Number
Sole Proprietor N
Credentials LCDP

NPI Number Detail

NPI Number 1750502241
Provider Enumeration Date 2007-05-01
Last Updated Date 2023-12-02

Provider Mailing Address Detail

Address 15 Sarah Teft Dr
City Warwick
State Rhode Island (RI)
Post Code 2889
Phone Number 4017375596
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LCDP-135
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Mary Jane Boucher

What is the Mary Jane Boucher's 1750502241?

The Mary Jane Boucher's NPI (National Provider Identifier) Number is 1750502241. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mary Jane Boucher?

The Mary Jane Boucher is physically situated at 15 Sarah Teft Dr, in the city of Warwick, state of RI, with the postal code 2889.

What is Mary Jane Boucher's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary Jane Boucher is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

On what date did the Mary Jane Boucher receive its 1750502241 assignment from the Centers for Medicare & Medicaid Services?

The Mary Jane Boucher was assigned its 1750502241 by the Centers for Medicare & Medicaid Services on 2007-05-01.

When was the information regarding Mary Jane Boucher, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mary Jane Boucher, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-12-02.

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