| Susie Boucher Llc | |
|
3925 Spring Hill Ave Ste B Mobile AL 36608-5730 | |
| (251) 316-0060 | |
| (251) 316-0062 |
| Full Name | Susie Boucher Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3925 Spring Hill Ave Ste B, Mobile, Alabama |
| Authorized Official Name and Position | Susan Marisa Boucher (LPC) |
| Authorized Official Contact | 2513160060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susie Boucher Llc 3925 Spring Hill Ave Ste B Mobile AL 36608-5730 Ph: (251) 316-0060 | Susie Boucher Llc 3925 Spring Hill Ave Ste B Mobile AL 36608-5730 Ph: (251) 316-0060 |
| NPI Number | 1780343731 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780343731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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