MARK LYNN BOUCHER

MODESTO, CA
NPI1538283569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC20703)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
-- MARK LYNN BOUCHER LMFT
1208 9TH ST
MODESTO, CA 95354-0713
Phone number: 209-558-4464
Mailing Address
-- MARK LYNN BOUCHER LMFT
1208 9TH ST
MODESTO, CA 95354-0713
Phone number: 209-558-4464