Individual provider · Type 1 NPI

Jacqueline Bourassa

Professional Counselor · Lake Charles, LA

NPI number 1639557606 Active

Practice location

2802 Hodges St
Lake Charles, LA 70601-7368

Fax (337) 656-2848

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPLC6140 (LA)

Professional Counselor: Definition to come...

8 other providers at this address

Other professional counselor providers in Lake Charles

See all in Lake Charles →

About NPI 1639557606

Jacqueline Bourassa's National Provider Identifier is 1639557606, issued on May 11, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Charles, LA. The record was last updated on May 11, 2015.