Boucher, Jason Andrew

Boucher, Jason Andrew is an individual health care provider with primary practice located at 40 Mansfield Ave , Willimantic CT 06226-2018. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Boucher, Jason Andrew can be contacted via phone (860) 450-0585.

Contact Information

Primary practice address
40 Mansfield Ave Willimantic CT 06226-2018
Phone: (860) 450-0585
Fax: (860) 450-0763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001475 Connecticut

Profile Details

NPI number 1588853063
LBN Legal business name Boucher, Jason Andrew
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2007
Last updated Jun 6th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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