Individual provider · Type 1 NPI

Jennifer Bourquin, LPC

Professional Counselor · Bastrop, TX

NPI number 1790062875 Active

Practice location

717 Chestnut St
Bastrop, TX 78602-3202

Call (512) 772-0775 Map

Mailing address

9017 Laurel Grove Dr.
Austin, TX 78758

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X65653 (TX)

Professional Counselor: Definition to come...

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About NPI 1790062875

Jennifer Bourquin, LPC's National Provider Identifier is 1790062875, issued on Nov 3, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bastrop, TX. The record was last updated on Nov 3, 2011.