Boutillette, Isabella Chayne

Boutillette, Isabella Chayne is an sole proprietor health care provider with primary practice located at 200 Ross Ave , Alamosa CO 81101-2451. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Boutillette, Isabella Chayne can be contacted via phone (719) 589-2786.

Contact Information

Primary practice address
200 Ross Ave Alamosa CO 81101-2451
Phone: (719) 589-2786
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1725 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X 1725 Colorado

Profile Details

NPI number 1508990086
LBN Legal business name Boutillette, Isabella Chayne
Credentials LPC MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Feb 3rd, 2017 - about 7 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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