Individual provider · Type 1 NPI

Kristen Leanne Bourque, LCSW

Addiction (Substance Use Disorder) Counselor · Fall River, MA

NPI number 1265736730 Active

Practice location

22 Front St
Fall River, MA 02721-4302

Fax (508) 674-4493

Mailing address

270 Douglas Rd
Warwick, RI 02886-2785

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCSW01365 (RI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265736730

Kristen Leanne Bourque, LCSW's National Provider Identifier is 1265736730, issued on Dec 27, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fall River, MA. The record was last updated on Dec 27, 2010.