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Nicole Bouchard
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1033342928

Nicole Bouchard is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Nicole Bouchard practices in Santa Rosa, CA. The NPI Number for Nicole Bouchard is 1033342928 and holds a License No. RI-G0905181439 (California).

The current practice location address for Nicole Bouchard is 429 Speers Rd, Santa Rosa, CA and can be reached out via phone at 707-571-2215.

Location: 429 Speers Rd, Santa Rosa, CA, 95405-0587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033342928
Provider Name
Nicole Bouchard
Credential
Provider Entity Type
Individual
Gender
Female
Address
429 Speers Rd, Santa Rosa, CA, 95405-0587
Phone Number
707-571-2215
Fax Number
Provider Enumeration Date
08/26/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
429 Speers Rd
City
Santa Rosa
State
California
Zip
95409-3123
Phone Number
707-571-2215
Fax Number
person
Provider Business Mailing Address Details
Address
429 Speers Rd
City
Santa Rosa
State
California
Zip
95409-3123
Phone Number
707-571-2215
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
RI-G0905181439 (California)
Definition
Definition to come...
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