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Alixandra Boucher
Professional Counselor in Philadelphia, Pennsylvania
NPI 1023728029

Alixandra Boucher is a Professional Counselor based in Philadelphia, PA and is specialized in Professional. Alixandra Boucher practices in Philadelphia, PA. The NPI Number for Alixandra Boucher is 1023728029 and holds a License No. MH11666 (Pennsylvania).

The current practice location address for Alixandra Boucher is 4601 Market St, Philadelphia, PA and can be reached out via phone at 215-590-7555.

Location: 4601 Market St, Philadelphia, PA, 19139-4636
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Provider Profile Details
NPI Number
1023728029
Provider Name
Alixandra Boucher
Credential
Provider Entity Type
Individual
Gender
Female
Address
4601 Market St, Philadelphia, PA, 19139-4636
Phone Number
215-590-7555
Fax Number
Provider Enumeration Date
11/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4601 Market St
City
State
Zip
19139-4636
Phone Number
215-590-7555
Fax Number
person
Provider Business Mailing Address Details
Address
4601 Market St
City
State
Zip
19139-4636
Phone Number
215-590-7555
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PC015305 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MH11666 (Massachusetts)
Definition
Definition to come...
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