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Mr. Jacob Raymond Daniel Boucher, BSPSYCHOLOGY
Counselor in Vancouver, Washington
NPI 1265114979

Jacob Raymond Daniel Boucher is a Counselor based in Vancouver, WA. Jacob Raymond Daniel Boucher practices in Vancouver, WA and has the professional credentials of BSPSYCHOLOGY. The NPI Number for Jacob Raymond Daniel Boucher is 1265114979 and holds a License No. (Washington).

The current practice location address for Jacob Raymond Daniel Boucher is 10604 Ne Highway 99, Vancouver, WA and can be reached out via phone at 360-644-1631.

Location: 10604 Ne Highway 99, Vancouver, WA, 98661-3688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265114979
Provider Name
Jacob Raymond Daniel Boucher
Credential
BSPSYCHOLOGY
Provider Entity Type
Individual
Gender
Male
Address
10604 Ne Highway 99, Vancouver, WA, 98661-3688
Phone Number
360-644-1631
Fax Number
Provider Enumeration Date
08/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10604 Ne Highway 99
City
Vancouver
State
Washington
Zip
98686-5613
Phone Number
360-644-1631
Fax Number
person
Provider Business Mailing Address Details
Address
10604 Ne Highway 99
City
Vancouver
State
Washington
Zip
98686-5613
Phone Number
360-644-1631
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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