Individual provider · Type 1 NPI

Anthony Bourne

Mental Health Counselor · Orlando, FL

NPI number 1720450679 Active

Practice location

1800 Mercy Dr
Orlando, FL 32808-5646

Fax (407) 659-0411

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1720450679

Anthony Bourne's National Provider Identifier is 1720450679, issued on Oct 30, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Oct 30, 2015.