Individual provider · Type 1 NPI

Jacqueline Bourriague

Professional Counselor · Kalispell, MT

NPI number 1063300713 Active

Practice location

2282 US Highway 93 S
Kalispell, MT 59901-8499

Mailing address

608 Mountain View Dr
Kalispell, MT 59901-6699

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XBBH-PCLC-LIC-79732 (MT)

Professional Counselor: Definition to come...

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About NPI 1063300713

Jacqueline Bourriague's National Provider Identifier is 1063300713, issued on Jun 24, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kalispell, MT. The record was last updated on Jun 24, 2025.