Jacalyn C Boucher, CLINICIAN
Counselor, Mental Health in Worcester, Massachusetts
1760733372- Practice location
- 250 Commercial St, Suite 200, Worcester, MA 01608-1726
- Phone
- 508-752-4665
- Fax
- 508-752-0947
- Last updated
- December 16, 2020
Jacalyn Corrine Boucher is a Counselor, Mental Health based in Worcester, MA. Jacalyn Corrine Boucher practices in Worcester, MA and has the professional credentials of CLINICIAN. The NPI Number for Jacalyn Corrine Boucher is 1760733372. The current practice location address for Jacalyn Corrine Boucher is 250 Commercial St, Suite 200, Worcester, MA 01608-1726 and can be reached out via phone at 508-752-4665 and via fax at 508-752-0947.
Provider Profile Details
- NPI Number
- 1760733372
- Provider Name
- Jacalyn Corrine Boucher
- Credential
- CLINICIAN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 250 Commercial St, Suite 200, Worcester, MA 01608-1726
- Phone Number
- 508-752-4665
- Fax Number
- 508-752-0947
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 21, 2012
- Last Update Date
- December 16, 2020
- Certification Date
- December 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 250 Commercial St
Suite 200
Worcester, MA 01608-1726 - City
- Worcester
- State
- Massachusetts
- Zip
- 01608-1726
- Phone Number
- 508-752-4665
- Fax Number
- 508-752-0947
Provider Business Mailing Address Details
- Address
- 76 Summer St Ste 135A
Fitchburg, MA 01420-5783 - City
- Fitchburg
- State
- MA
- Zip
- 01420-5783
- Phone Number
- 978-870-9905
- Fax Number
- 978-268-5768
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jacalyn C Boucher, CLINICIAN?
The NPI number of Jacalyn C Boucher, CLINICIAN is 1760733372. It was assigned on September 21, 2012 and is currently active in the NPPES registry.
What is the specialty of Jacalyn C Boucher, CLINICIAN?
Jacalyn C Boucher, CLINICIAN is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Jacalyn C Boucher, CLINICIAN practice?
The practice location is 250 Commercial St, Suite 200, Worcester, MA 01608-1726. The office can be reached at 508-752-4665 (phone) or 508-752-0947 (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 1760733372 directly on the NPPES registry website.