Individual provider · Type 1 NPI
Stacey Bourbeau, BSW
Mental Health Counselor · Lowell, MA
NPI number
1891115366
Active
Practice location
391 Varnum Avenue Lower Level
Lowell, MA 01854
Mailing address
391 Varnum Avenue, Lower Level
Lowell, MA 01854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1891115366
Stacey Bourbeau, BSW's National Provider Identifier is 1891115366, issued on Apr 23, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lowell, MA. The record was last updated on Apr 23, 2014.