Stella Valerie Bourassa Valid NPI
Individual provider · Mental Health Counselor · Maitland, FL
- NPI
- 1235247057
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 23093 (FL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-29
- Last updated
- 2024-08-20
Practice location
220 Lookout Pl Ste 150
Maitland, FL 32751-8430
(407) 834-8776