NPI 1366064990 · live from the CMS NPI Registry
Danielle Lauren Boisvert, PhD
Marriage & Family Therapist in Chicago, IL. National Provider Identifier 1366064990, active.
NPI record
| NPI | 1366064990 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 20 N Wacker Dr Ste 1442, Chicago, IL 60606 |
| Practice phone | 312-372-4731 |
| Mailing address | 36 Captain John Jacobs Rd Apt 107, East Providence, RI 02914 |
| Enumerated | May 18, 2020 |
| Last updated | November 30, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT000233 (RI) |
| Marriage & Family Therapist primary | 106H00000X | 1847-MH-MF (MA) |
| Marriage & Family Therapist | 106H00000X | 166.001376 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.