Ms. Dail M Bouchard, LADC-1, CADAC
Counselor, Addiction (Substance Use Disorder) in Vineyard Haven, Massachusetts
1679880165- Practice location
- 111 Edgartown Vineyard Haven RD, Vineyard Haven, MA 02568-4036
- Phone
- 508-693-7900
- Fax
- 508-696-0401
- Last updated
- September 7, 2010
Dail Marie Bouchard is a Counselor, Addiction (Substance Use Disorder) based in Vineyard Haven, MA. Dail Marie Bouchard practices in Vineyard Haven, MA and has the professional credentials of LADC-1, CADAC. The NPI Number for Dail Marie Bouchard is 1679880165 and holds a License No. 477 (MA). The current practice location address for Dail Marie Bouchard is 111 Edgartown Vineyard Haven RD, Vineyard Haven, MA 02568-4036 and can be reached out via phone at 508-693-7900 and via fax at 508-696-0401.
Provider Profile Details
- NPI Number
- 1679880165
- Provider Name
- Dail Marie Bouchard
- Credential
- LADC-1, CADAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 Edgartown Vineyard Haven RD, Vineyard Haven, MA 02568-4036
- Phone Number
- 508-693-7900
- Fax Number
- 508-696-0401
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 7, 2010
- Last Update Date
- September 7, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Edgartown Vineyard Haven RD
Vineyard Haven, MA 02568-4036 - City
- Vineyard Haven
- State
- Massachusetts
- Zip
- 02568-4036
- Phone Number
- 508-693-7900
- Fax Number
- 508-696-0401
Provider Business Mailing Address Details
- Address
- 111 Edgartown Vineyard Haven RD
Vineyard Haven, MA 02568-4036 - City
- Vineyard Haven
- State
- MA
- Zip
- 02568-4036
- Phone Number
- 508-693-7900
- Fax Number
- 508-696-0401
License Information
- License Number
- 477
- License State
- MA
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Vineyard Haven, MA
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Frequently Asked Questions
What is the NPI number of Ms. Dail M Bouchard, LADC-1, CADAC?
The NPI number of Ms. Dail M Bouchard, LADC-1, CADAC is 1679880165. It was assigned on September 7, 2010 and is currently active in the NPPES registry.
What is the specialty of Ms. Dail M Bouchard, LADC-1, CADAC?
Ms. Dail M Bouchard, LADC-1, CADAC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 477.
Where does Ms. Dail M Bouchard, LADC-1, CADAC practice?
The practice location is 111 Edgartown Vineyard Haven RD, Vineyard Haven, MA 02568-4036. The office can be reached at 508-693-7900 (phone) or 508-696-0401 (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 1679880165 directly on the NPPES registry website.