| Christine Boucher, | |
|
25 Folkstone Rd Apt B, Broad Brook, CT 06016-9434 | |
| (860) 530-0722 | |
| Not Available |
| Full Name | Christine Boucher |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 25 Folkstone Rd Apt B, Broad Brook, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619258993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000964 (Connecticut) | Secondary |
| 101YP2500X | Counselor - Professional | 002338 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Boucher, 25 Folkstone Rd Apt B, Broad Brook, CT 06016-9434 Ph: (860) 530-0722 | Christine Boucher, 25 Folkstone Rd Apt B, Broad Brook, CT 06016-9434 Ph: (860) 530-0722 |
Mr. Guy Anthony Ciancio, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Canyon Ridge Dr, Broad Brook, CT 06016 Phone: 860-758-7861 | |
Kaitlyn Lichstein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Omelia Rd, Broad Brook, CT 06016 Phone: 413-335-3295 | |
Krystle Janine George, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10j Townhouse Rd, Broad Brook, CT 06016 Phone: 860-222-0957 |