Individual provider · Type 1 NPI

Marie Bourne, LPC

Professional Counselor · St. Cloud, MN

NPI number 1922463173 Active

Practice location

4140 Thielman Ln
St. Cloud, MN 56301-7326

Call (320) 253-5930 Map

Mailing address

PO Box 9859
Fargo, ND 58106-9859

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X01569 (MN)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1922463173

Marie Bourne, LPC's National Provider Identifier is 1922463173, issued on Dec 15, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Cloud, MN. The record was last updated on Dec 15, 2015.