Megan Lynn Bourguillon Valid NPI
Individual provider · Mental Health Counselor · Bridgeport, CT
- NPI
- 1104055474
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 002136 (CT)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-07-08
- Last updated
- 2024-03-15
Practice location
1046 Fairfield Ave
Bridgeport, CT 06605-1116
(203) 330-6054