JOHNDA ANN BOUTHILLIER LCSW LADC NPI 1376582742

NPI Information

NPI: 1376582742
Provider Name: JOHNDA ANN BOUTHILLIER, LCSW, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
47 TOWN ST
NORWICH, CT
ZIP 06360
Phone: (860) 892-7042
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Johnda Ann Bouthillier, LCSW, LADC is an addiction (substance use disorder) counselor in Norwich, CT. Johnda Ann Bouthillier, LCSW, LADC NPI is 1376582742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

47 TOWN ST
NORWICH, CT
ZIP 06360-315
Phone: (860) 892-7042
Fax: (860) 892-7043

The enumeration date for this NPI number is 6/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000505	CONNECTICUT	Yes
2	1041C0700X	Social Worker	Clinical	003961	CONNECTICUT	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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