Individual provider · Type 1 NPI

Kadie Ann Bourgoin, LPC

Professional Counselor · Columbia, SC

NPI number 1366067381 Active

Practice location

1817 Pickens St
Columbia, SC 29201-2630

Call (803) 356-0134 Map

Fax (803) 401-5424

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X13044 (FL)
Professional Counselor Primary 101YP2500X7631 (SC)

Professional Counselor: Definition to come...

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About NPI 1366067381

Kadie Ann Bourgoin, LPC's National Provider Identifier is 1366067381, issued on Jun 15, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Columbia, SC. The record was last updated on Mar 27, 2025.