WANDA BURLESON BOUCHARD

BOISE, ID
NPI1255852703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LPC-5859)
Enumeration Date2017-07-05
Last Update Date2019-08-12
Business Address
WANDA BURLESON BOUCHARD MA, LPC, NCC
2589 S FIVE MILE RD
BOISE, ID 83709-2325
Phone number: 208-991-2301
Mailing Address
WANDA BURLESON BOUCHARD MA, LPC, NCC
2982 E HEARTLEAF LN
BOISE, ID 83716-5065
Phone number: 208-949-6720
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