Individual provider · Type 1 NPI

Stella Valerie Bourassa

Mental Health Counselor · Maitland, FL

NPI number 1235247057 Active

Practice location

220 Lookout Pl Ste 150
Maitland, FL 32751-8430

Call (407) 834-8776 Map

Fax (407) 831-0073

Mailing address

5237 Red Branch Ln
Winter Park, FL 32792-9341

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X23093 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1235247057

Stella Valerie Bourassa's National Provider Identifier is 1235247057, issued on Aug 29, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maitland, FL. The record was last updated on Aug 20, 2024.