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

Mr. Jacob Raymond Daniel Boucher, BSPSYCHOLOGY

Individual provider Counselor · NPI 1265114979

Mr. Jacob Raymond Daniel Boucher, BSPSYCHOLOGY is a Counselor in Vancouver, Washington. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

10604 NE Highway 99
Vancouver, WA 98686-5613
Phone: (360) 644-1631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1265114979
Entity typeIndividual (Type 1)
GenderMale
Credentials BSPSYCHOLOGY
Sole proprietorNo
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023

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