Individual provider · Type 1 NPI

Rebecca S. Bourquine

Professional Counselor · Valdosta, GA

NPI number 1104927581 Active

Practice location

3120 N Oak Street Ext, Suite B
Valdosta, GA 31602-1007

Call (229) 333-5218 Map

Mailing address

2892 Fawnwood Cir
Valdosta, GA 31602-4119

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X004641 (GA)

Professional Counselor: Definition to come...

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About NPI 1104927581

Rebecca S. Bourquine's National Provider Identifier is 1104927581, issued on Sep 26, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Valdosta, GA. The record was last updated on Jul 8, 2007.