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Rebecca S Bourquine
Professional Counselor in Valdosta, Georgia
NPI 1104927581

Rebecca S Bourquine is a Professional Counselor based in Valdosta, GA and is specialized in Professional. Rebecca S Bourquine practices in Valdosta, GA. The NPI Number for Rebecca S Bourquine is 1104927581 and holds a License No. 004641 (Georgia).

The current practice location address for Rebecca S Bourquine is 3120 N Oak Street Ext, Valdosta, GA and can be reached out via phone at 229-333-5218.

Location: 3120 N Oak Street Ext, Valdosta, GA, 31602-4119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104927581
Provider Name
Rebecca S Bourquine
Credential
Provider Entity Type
Individual
Gender
Female
Address
3120 N Oak Street Ext, Valdosta, GA, 31602-4119
Phone Number
229-333-5218
Fax Number
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3120 N Oak Street Ext
City
Valdosta
State
Georgia
Zip
31602-1007
Phone Number
229-333-5218
Fax Number
person
Provider Business Mailing Address Details
Address
3120 N Oak Street Ext
City
Valdosta
State
Georgia
Zip
31602-1007
Phone Number
229-333-5218
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
004641 (Georgia)
Definition
Definition to come...
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