Individual provider · Type 1 NPI

Katie Bourgoin

Mental Health Counselor · St. George, UT

NPI number 1619413754 Active

Practice location

474 W 200 N
St. George, UT 84770-4505

Fax (435) 986-8700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X9679979-6004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1619413754

Katie Bourgoin's National Provider Identifier is 1619413754, issued on Jan 12, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. George, UT. The record was last updated on Feb 11, 2026.