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Contact Information

CHERYL BOUCHER, LADC
32 WINTHROP ST
AUGUSTA, ME04330-5624
 Phone: 207-626-3448
 Fax: 207-621-6228
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CHERYL BOUCHER · (Female)

NPI Number 1306166541
Status Active
Credentials LADC
Entity Individual
Enumeration date 06/10/2010
Last updated 06/10/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • ME Medicaid 435681499
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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