Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mr. Justin P Bouchard, PRSS

Individual provider Peer Specialist · NPI 1700794658

Mr. Justin P Bouchard, PRSS is a Peer Specialist in Middlebury, Vermont. Licensed in Vermont. Registered with an NPI since 2026.

Licensed in
VT
In the registry since
2026

Practice location Address checks out

79 Court St
Middlebury, VT 05753-1406
Phone: (802) 388-4249
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 194.0000018 (VT)

Record details

NPI number1700794658
Entity typeIndividual (Type 1)
GenderMale
Credentials PRSS
Sole proprietorNo
NPI enumeratedAugust 31, 2026
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026

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