Individual provider · Type 1 NPI

Jennifer Bourne

Addiction (Substance Use Disorder) Counselor · Wasilla, AK

NPI number 1801540356 Active

Practice location

7010 E Bogard Rd Bldg 2
Wasilla, AK 99654-4711

Call (907) 373-4732 Map

Fax (907) 746-4749

Mailing address

22301 W. Alsop Rd
Wasilla, AK 99623

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1801540356

Jennifer Bourne's National Provider Identifier is 1801540356, issued on Feb 3, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wasilla, AK. The record was last updated on Sep 11, 2026.