Individual provider · Type 1 NPI
Jean Louise Bourque, LCDC, MS
Addiction (Substance Use Disorder) Counselor · Vidor, TX
NPI number
1770413346
Active
Practice location
165 Fir Ln
Vidor, TX 77662-9206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14001 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1770413346
Jean Louise Bourque, LCDC, MS's National Provider Identifier is 1770413346, issued on May 22, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vidor, TX. The record was last updated on May 22, 2026.