Boucher, Jessi

Boucher, Jessi is an individual health care provider with primary practice located at 12 Washington St , Fort Edward NY 12828-1734. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Boucher, Jessi can be contacted via phone (518) 746-3885.

Contact Information

Primary practice address
12 Washington St Fort Edward NY 12828-1734
Phone: (518) 746-3885
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 099442-1 New York
Behavioral Health & Social Service Providers / School 1041S0200X 091920-01 New York

Profile Details

NPI number 1851855134
LBN Legal business name Boucher, Jessi
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2019
Last updated Sep 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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