Jacalyn Corrine Boucher, CLINICIAN is a
Counselor - Mental Health based in Worcester, Massachusetts. Jacalyn Corrine Boucher is licensed to practice in * (Not Available) (license number ) and her current practice location is
250 Commercial St, Suite 200, Worcester, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 752-4665.
NPI number for Jacalyn Corrine Boucher is 1760733372 and her current mailing address is 76 Summer St Ste 135a, Fitchburg, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760733372.
Healthcare Provider's Profile
| Full Name | Jacalyn Corrine Boucher |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 250 Commercial St, Worcester, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760733372
- Provider Enumeration Date: 09/21/2012
- Last Update Date: 12/16/2020
Medical Identifiers
Medical identifiers for Jacalyn Corrine Boucher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760733372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacalyn Corrine Boucher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacalyn Corrine Boucher, CLINICIAN
76 Summer St Ste 135a,
Fitchburg, MA 01420-5783
Ph: (978) 870-9905 | Jacalyn Corrine Boucher, CLINICIAN
250 Commercial St, Suite 200,
Worcester, MA 01608-1726
Ph: (508) 752-4665 |
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