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ORION LEIGH BOUCHER

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1831733930

Individual Registrant:
 ORION LEIGH BOUCHER 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
162J GROVE ST  BISHOP, CA 93514-2640 US
Tel: 760-873-6533  Fax: --

Contact information for business:
162J GROVE ST  BISHOP, CA 93514-2640 US
Tel: --  Fax: --

Registration Information:
NPI: 1831733930
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N171M00000XOther Service Providers
Case Manager/Care Coordinator
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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