Individual provider · Type 1 NPI

Michelle Lee Bourassa, MA

Mental Health Counselor · Orlando, FL

NPI number 1770176224 Active

Practice location

736 Lillian Dr
Orlando, FL 32806-7029

Call (603) 313-0698 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770176224

Michelle Lee Bourassa, MA's National Provider Identifier is 1770176224, issued on Feb 16, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Feb 16, 2021.