Cheryl Boucher, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Augusta, ME
NPI 1306166541 · NPPES record last updated Jun 10, 2010
Key facts
- NPI
- 1306166541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 32 Winthrop St
Augusta, ME 04330-5624 - Phone
- (207) 626-3448
- Fax
- (207) 621-6228
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
32 Winthrop St
Augusta, ME 04330-5624
Mailing address
32 Winthrop St
Augusta, ME 04330-5624
Phone (207) 626-3448
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435681499 | Medicaid | ME |
Other names
- Cheryl Stevens
Other providers in Augusta, ME
- Gena Bosshart
- Karen J Bossie
- Seana Bouchard
- Susanne Margarete Bouchard
- Travis Jeffery Bouchard
- Rob S Boudewijn
- Zachary Boudreau
- Christina Bourdelais
- Keith James Bourgeois
- Danielle Bourne
All providers in Augusta, ME · Addiction (Substance Use Disorder) Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.