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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WANDA BURLESON BOUCHARD, MA, LPC, NCC

Active Sole Proprietor

WANDA BURLESON BOUCHARD, MA, LPC, NCC is a Counselor healthcare provider located in BOISE, Idaho. NPI 1255852703 is currently active in the NPPES registry. Verify at CMS.

Counselor · BOISE, ID

Registration Details

NPI Number
1255852703
Provider Type
Individual
Gender
Female
NPI Issued
Jul 5, 2017 (9.0706894288753 yrs)
Last Updated
Aug 12, 2019
License
LPC-5859 (ID)
Sole Proprietor
Yes

Practice Information

Address
2589 S FIVE MILE RD
BOISE, ID, 837092325
Browse ID providers · Browse ZIP 83709
Phone
2089912301
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in BOISE, ID

Name Credential NPI
BRITNEY JOURNEE LCPC 1912966730
MR. LORN HENRY ADKINS LPCP 1679504930
MR. JONATHAN WELDON GLICK LPCP 1922039262
KENDRA M LUTES LCPC 1104834332
KAREN S. MCCONAUGHEY LCPC 1639188907
MR. CHARLES BENTON MCCONNELL MA 1104932383
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.