Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alixandra Boucher

Individual provider Mental Health Counselor · NPI 1023728029

Alixandra Boucher is a Mental Health Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Massachusetts and Pennsylvania.

Licensed in
MA, PA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4601 Market St
Philadelphia, PA 19139-4636
Phone: (215) 590-7555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC015305 (PA)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH11666 (MA)

Record details

NPI number1023728029
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2022
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

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