Individual provider · Type 1 NPI

Megan Lynn Bourguillon

Mental Health Counselor · Bridgeport, CT

NPI number 1104055474 Active

Practice location

1046 Fairfield Ave
Bridgeport, CT 06605-1116

Call (203) 330-6054 Map

Fax (203) 331-4716

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X002136 (CT)

Mental Health Counselor: Definition to come...

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About NPI 1104055474

Megan Lynn Bourguillon's National Provider Identifier is 1104055474, issued on Jul 8, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bridgeport, CT. The record was last updated on Mar 15, 2024.