-- K. MICHAEL BOUCHER -- LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1538298146- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 425 ELLSWORTH ST SW, ALBANY, OR, 973212362
- Phone
- (541) 619-8121
- Fax
- (541) 924-9600
Specialties & Taxonomies
Social Worker, Clinical
Primary License: OR #L2692