NPIRadar

Michael John Bourque, MS, LPC Valid NPI

Individual provider · Mental Health Counselor · Thibodaux, LA

NPI
1831048305
Type
Individual (Type 1)
Primary specialty
Mental Health Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YM0800X
License number
9136 (LA)
Sex
Male
Sole proprietor
No
Enumerated
2026-01-27
Last updated
2026-01-27
Practice location
1719 Oakley Ct Apt 8
Thibodaux, LA 70301-4449
(337) 322-5894

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