Individual provider · Type 1 NPI

Carla Sue Bourne, M.S., L.B.P.

Mental Health Counselor · Hugo, OK

NPI number 1144374612 Active

Practice location

3103 E Jackson St
Hugo, OK 74743-4051

Call (580) 326-5279 Map

Mailing address

173 W Ruth Ave
Atoka, OK 74525-4001

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0072 (OK)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1144374612

Carla Sue Bourne, M.S., L.B.P.'s National Provider Identifier is 1144374612, issued on Jan 22, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hugo, OK. The record was last updated on Apr 7, 2016.