Individual provider · Type 1 NPI
Latosha Bourdeau
Mental Health Counselor · Westampton, NJ
NPI number
1295286359
Active
Practice location
770 Woodlane Rd
Westampton, NJ 08060-3804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 44SL06198800 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1295286359
Latosha Bourdeau's National Provider Identifier is 1295286359, issued on Oct 24, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Oct 24, 2016.