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Ethan Emery Bourque
Counselor in Wilton, Connecticut
NPI 1376321000

Ethan Emery Bourque is a Counselor based in Wilton, CT. Ethan Emery Bourque practices in Wilton, CT. The NPI Number for Ethan Emery Bourque is 1376321000 and holds a License No. (Connecticut).

The current practice location address for Ethan Emery Bourque is 396 Danbury Rd Ste 2A, Wilton, CT and can be reached out via phone at 203-202-7654.

Location: 396 Danbury Rd Ste 2A, Wilton, CT, 06897-2024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376321000
Provider Name
Ethan Emery Bourque
Credential
Provider Entity Type
Individual
Gender
Male
Address
396 Danbury Rd Ste 2A, Wilton, CT, 06897-2024
Phone Number
203-202-7654
Fax Number
Provider Enumeration Date
09/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
396 Danbury Rd Ste 2A
City
Wilton
State
Connecticut
Zip
06897-2024
Phone Number
203-202-7654
Fax Number
person
Provider Business Mailing Address Details
Address
396 Danbury Rd Ste 2A
City
Wilton
State
Connecticut
Zip
06897-2024
Phone Number
203-202-7654
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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