Jason Andrew Boucher in Willimantic - Marriage & Family Therapist
Jason Andrew Boucher - NPI 1588853063
Jason Andrew Boucher is a Marriage & Family Therapist in Willimantic, Connecticut. Jason Andrew Boucher practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jason Andrew Boucher is 1588853063. The last update date is 2014-06-06.
Jason Andrew Boucher's current location address is 40 Mansfield Ave, Willimantic, Connecticut. You can contact this provider via phone number 8604500585 and fax number 8604500763. The mailing address for Jason Andrew Boucher is 40 Mansfield Ave, Willimantic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Andrew Boucher |
|---|---|
| Address | 40 Mansfield Ave, Willimantic, Connecticut |
| Phone Number | 8604500585 |
| Fax Number | 8604500763 |
| Sole Proprietor | N |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1588853063 |
|---|---|
| Provider Enumeration Date | 2007-10-19 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 40 Mansfield Ave |
|---|---|
| City | Willimantic |
| State | Connecticut (CT) |
| Post Code | 62262018 |
| Phone Number | 8604500585 |
| Fax Number | 8604500763 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 1475 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identification code issued to Jason Andrew Boucher by the Centers for Medicare & Medicaid Services?
The Jason Andrew Boucher has been assigned the NPI (National Provider Identifier) 1588853063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jason Andrew Boucher located?
The Jason Andrew Boucher is located at 40 Mansfield Ave, Willimantic, CT 62262018.
What is Jason Andrew Boucher's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason Andrew Boucher is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
When was the Jason Andrew Boucher's 1588853063 issued?
The Jason Andrew Boucher's 1588853063 was issued on 2007-10-19.
As of what date were the details related to Jason Andrew Boucher most recently updated or revised?
The information pertaining to Jason Andrew Boucher, including its address, specialty, and other relevant details, was last updated or revised on 2014-06-06.