Active NPIIndividual providerSole proprietor

Kristina Bourgoin, LMFT

Marriage & Family Therapist in Dudley, Massachusetts

NPI Number1396278784
Practice location
241 Dresser Hill RD, Dudley, MA 01571-6328
Fax
—
Last updated
July 28, 2023

Kristina Bourgoin is a Marriage & Family Therapist based in Dudley, MA. Kristina Bourgoin practices in Dudley, MA and has the professional credentials of LMFT. The NPI Number for Kristina Bourgoin is 1396278784 and holds a License No. 1794 (MA). The current practice location address for Kristina Bourgoin is 241 Dresser Hill RD, Dudley, MA 01571-6328 and can be reached out via phone at 603-505-0326.

Provider Profile Details

NPI Number
1396278784
Provider Name
Kristina Bourgoin
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
241 Dresser Hill RD, Dudley, MA 01571-6328
Phone Number
603-505-0326
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Other Names
Kristina Hanley, LMFT (Former Name)
Provider Enumeration Date
April 4, 2017
Last Update Date
July 28, 2023
Certification Date
July 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
241 Dresser Hill RD
Dudley, MA 01571-6328
City
Dudley
Zip
01571-6328
Phone Number
603-505-0326
Dudley, MA 01571Get directions →

Provider Business Mailing Address Details

Address
241 Dresser Hill RD
Dudley, MA 01571-6328
City
Dudley
State
MA
Zip
01571-6328
Phone Number
603-505-0326

License Information

License Number (1)
1794
License State (1)
MA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
1794
License State (3)
MA
Taxonomy (3)
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristina Bourgoin, LMFT?

The NPI number of Kristina Bourgoin, LMFT is 1396278784. It was assigned on April 4, 2017 and is currently active in the NPPES registry.

What is the specialty of Kristina Bourgoin, LMFT?

Kristina Bourgoin, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in MA under license number 1794.

Where does Kristina Bourgoin, LMFT practice?

The practice location is 241 Dresser Hill RD, Dudley, MA 01571-6328. The office can be reached at 603-505-0326 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396278784 directly on the NPPES registry website.

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