Individual provider · Type 1 NPI

Teri Lynn Bourdeau, CASAC-ADVANCED

Addiction (Substance Use Disorder) Counselor · Keeseville, NY

NPI number 1568196319 Active

Practice location

1703 Front St
Keeseville, NY 12944-3619

Fax (518) 834-5557

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X34012 (NY)

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

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About NPI 1568196319

Teri Lynn Bourdeau, CASAC-ADVANCED's National Provider Identifier is 1568196319, issued on Jul 15, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Keeseville, NY. The record was last updated on Jul 15, 2022.