CERISE BOUCHARD, CLC

Developmental Therapist

Active Individual
NPI: 1407152234

Practice Address

1733 BROOK PARK DR
Lexington, KY 40515

Phone: (859) 576-1062

Specialties

Specialty Code Primary License
Developmental Therapist 222Q00000X Yes 201197964 (KY)

Frequently Asked Questions

NPI 1407152234 is the National Provider Identifier for CERISE BOUCHARD, CLC, a Developmental Therapist provider located in Lexington, KY. This NPI was enumerated on January 26, 2011.
CERISE BOUCHARD, CLC practices at 1733 BROOK PARK DR, Lexington, KY 40515.

Quick Facts

NPI
1407152234
Type
Individual
Enumerated
Jan 26, 2011
Last Updated
Jun 14, 2022

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