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

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1205042496

Jessica Boucher is an Emotionally Disturbed Childrens' Residential Treatment Facility in Grass Valley, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

714 W Main St
Grass Valley, CA 95945-6410
Phone: (530) 477-9800
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Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1205042496
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESJuly 8, 2007
Mailing address714 W Main St, Grass Valley, CA 95945-6410

Other providers in Grass Valley