Individual provider · Type 1 NPI

Lisa C. Bourgeault, BA, CASAC

Addiction (Substance Use Disorder) Counselor · Glens Falls, NY

NPI number 1679695167 Active

Practice location

10 Harlem St
Glens Falls, NY 12801-2934

Fax (518) 926-7036

Mailing address

100 Park St
Glens Falls, NY 12801-4413

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4976 (NY)

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

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About NPI 1679695167

Lisa C. Bourgeault, BA, CASAC's National Provider Identifier is 1679695167, issued on Apr 4, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glens Falls, NY. The record was last updated on Jul 8, 2007.