ISABELLA CHAYNE BOUTILLETTE


Address: 200 Ross Ave, Alamosa, CO 81101-2451
Phone: 7195892786

ISABELLA CHAYNE BOUTILLETTE (NPI# 1508990086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508990086
Entity Type Individual
Full Name ISABELLA CHAYNE BOUTILLETTE
Credential LPC MA
Practice Address 200 Ross Ave
Alamosa
CO 81101-2451
Practice Telephone 7195892786
Mailing Telephone 7195892786
Enumeration Date 2007-03-15
Last Update Date 2017-02-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
1725 CO Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
1725 CO Behavioral Health & Social Service Providers

Office Location

Street Address 200 ROSS AVE
City ALAMOSA
State CO
Zip Code 81101-2451

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962909325 Tiffanie Nicole Hoover Nurse Practitioner Slv Health, 106 Blanca Ave, Alamosa, CO 81101 2018-04-11
1629503669 Early Oral Health Interception LLC Dental Hygienist 235 Carson Avenue, Alamosa, CO 81101 2017-04-27
1477917391 Mary Sawyer Nurse Practitioner San Luis Valley Health106 Blanca Ave, Alamosa, CO 81101 2016-04-06
1508221276 Kendal W Humes Counselor 1460 W 8th Street, Unit 13, Alamosa, CO 81101 2015-12-23
1689096422 Julia Toczek Counselor 8745 County Road 9s, Alamosa, CO 81101 2014-01-14
1275883365 Michelle Marie Craver Counselor 8745 County Road 9 South, Alamosa, CO 81101 2012-09-15
1417193079 Slv Eye Docs, LLC Optometrist 706 Del Sol Dr, Alamosa, CO 81101 2008-12-31
1770753154 Huh Inc Hearing Instrument Specialist 2101 Main St., Ste C Ears 2 U Hearing Aid Services, Alamosa, CO 81101 2008-03-03
1215139613 Valley-wide Health System, Inc. Pharmacist 1710 1st Street, Alamosa, CO 81101 2007-06-05
1821204116 Valerie Stephanie Gurule-duran Counselor 8745 Cr 9 South, Alamosa, CO 81101 2007-05-15
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225464563 Teresa J Mccartney Counselor 605 3rd St, Alamosa, CO 81101-2516 2013-09-18
1528246410 Luis Antonio Alvarez Counselor 4379 Crowther Ln, Alamosa, CO 81101-8807 2008-02-04
1194867689 Abel M. Chapa Counselor 1440 8th St Unit 13, Alamosa, CO 81101-3160 2007-02-13
1336176783 Eleanor Susan Young Counselor 603 3rd St, Alamosa, CO 81101-2516 2006-06-28
1417949587 Julie E Kove Counselor 315 State Ave, Alamosa, CO 81101-2637 2005-08-16
1962971911 Cindylee Herrera Counselor 106 Blanca Ave, Alamosa, CO 81101-2340 2018-11-20
1043758964 Cynthia Tanaka Counseling and Consulting Services Counselor 815 West Ave, Alamosa, CO 81101-3028 2017-02-11
1184172975 Jamie Bogner Counselor 8745 County Road 9 S, Alamosa, CO 81101-9610 2016-09-21
1710342613 Gregory Mayes Elliott Counselor 8745 County Road 9 S, Alamosa, CO 81101-9610 2015-12-18
1417336108 Lauren Mcevoy Counselor 8745 County Road 9 S, Alamosa, CO 81101-9610 2015-05-27
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Competitor

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City ALAMOSA
Zip Code 81101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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