Individual provider · Type 1 NPI
Carly Bourque
School Counselor · Pine Valley, CA
NPI number
1053268979
Active
Practice location
3305 Buckman Springs Rd
Pine Valley, CA 91962-4005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor Primary | 101YS0200X | 220102083 (CA) |
School Counselor: Definition to come...
4 other providers at this address
Other school counselor providers in Pine Valley
About NPI 1053268979
Carly Bourque's National Provider Identifier is 1053268979, issued on Mar 11, 2026. The primary taxonomy on file is School Counselor (101YS0200X), and the practice location is in Pine Valley, CA. The record was last updated on Mar 11, 2026.