Jason A Boucher, LMFT
Marriage & Family Therapist in Willimantic, Connecticut
1588853063- Practice location
- 40 Mansfield Ave, Willimantic, CT 06226-2018
- Phone
- 860-450-0585
- Fax
- 860-450-0763
- Last updated
- June 6, 2014
Jason Andrew Boucher is a Marriage & Family Therapist based in Willimantic, CT. Jason Andrew Boucher practices in Willimantic, CT and has the professional credentials of LMFT. The NPI Number for Jason Andrew Boucher is 1588853063 and holds a License No. 001475 (CT). The current practice location address for Jason Andrew Boucher is 40 Mansfield Ave, Willimantic, CT 06226-2018 and can be reached out via phone at 860-450-0585 and via fax at 860-450-0763.
Provider Profile Details
- NPI Number
- 1588853063
- Provider Name
- Jason Andrew Boucher
- Credential
- LMFT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 40 Mansfield Ave, Willimantic, CT 06226-2018
- Phone Number
- 860-450-0585
- Fax Number
- 860-450-0763
- Primary Taxonomy
- Marriage & Family Therapist · 106H00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 19, 2007
- Last Update Date
- June 6, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Mansfield Ave
Willimantic, CT 06226-2018 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-2018
- Phone Number
- 860-450-0585
- Fax Number
- 860-450-0763
Provider Business Mailing Address Details
- Address
- 40 Mansfield Ave
Willimantic, CT 06226-2018 - City
- Willimantic
- State
- CT
- Zip
- 06226-2018
- Phone Number
- 860-450-0585
- Fax Number
- 860-450-0763
License Information
- License Number
- 001475
- License State
- CT
- Taxonomy
- Marriage & Family Therapist · 106H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Marriage & Family Therapists near Willimantic, CT
View all Marriage & Family Therapists in Willimantic →- Mrs. Blanca D Charry, MFTMarriage & Family Therapist · NPI 1720243892
- Pilar AguilarMarriage & Family Therapist · NPI 1770962896
- Emma B Dufresne, LMSWSocial Worker · NPI 1811893001
- Michael BartelliSocial Worker, Clinical · NPI 1790699452
- Richard L Brody, MDFamily Medicine · NPI 1457330912
- Ms. Marlene M Dolat, APRNNurse Practitioner, Psych/Mental Health · NPI 1255600326
Frequently Asked Questions
What is the NPI number of Jason A Boucher, LMFT?
The NPI number of Jason A Boucher, LMFT is 1588853063. It was assigned on October 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Jason A Boucher, LMFT?
Jason A Boucher, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 001475.
Where does Jason A Boucher, LMFT practice?
The practice location is 40 Mansfield Ave, Willimantic, CT 06226-2018. The office can be reached at 860-450-0585 (phone) or 860-450-0763 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588853063 directly on the NPPES registry website.