MARY LOU BOURQUE, LPC
Counselor - Mental Health
Active
Individual
NPI: 1750380515
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | 000493 (MO) |
Frequently Asked Questions
NPI 1750380515 is the National Provider Identifier for MARY LOU BOURQUE, LPC, a Counselor - Mental Health provider located in Saint Louis, MO. This NPI was enumerated on July 14, 2005.
MARY LOU BOURQUE, LPC practices at 763 S NEW BALLAS RD, SUITE 110, Saint Louis, MO 63141.
Quick Facts
- NPI
- 1750380515
- Type
- Individual
- Enumerated
- Jul 14, 2005
- Last Updated
- Jul 12, 2007
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