Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DAIL MARIE BOUCHARD, LADC-1, CADAC
Active Sole ProprietorMS. DAIL MARIE BOUCHARD, LADC-1, CADAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in VINEYARD HAVEN, Massachusetts. NPI 1679880165 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · VINEYARD HAVEN, MA
Registration Details
- NPI Number
- 1679880165
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 7, 2010 (15.909418935801 yrs)
- Last Updated
- Sep 7, 2010
- License
-
477 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 EDGARTOWN VINEYARD HAVEN RDVINEYARD HAVEN, MA, 025684036Browse MA providers · Browse ZIP 02568
- Phone
- 5086937900
- Fax
- 5086960401
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in VINEYARD HAVEN, MA
| Name | Credential | NPI |
|---|---|---|
| MR. HOWARD B MARLIN | M. ED, LADC-1 | 1609145200 |
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.