Individual provider · Type 1 NPI

Ethan Emery Bourque

Counselor · Wilton, CT

NPI number 1376321000 Active

Practice location

396 Danbury Rd Ste 2A
Wilton, CT 06897-2024

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376321000

Ethan Emery Bourque's National Provider Identifier is 1376321000, issued on Sep 14, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Wilton, CT. The record was last updated on Sep 14, 2023.