person
Jacqueline Bourassa
Professional Counselor in Lake Charles, Louisiana
NPI 1639557606

Jacqueline Bourassa is a Professional Counselor based in Lake Charles, LA and is specialized in Professional. Jacqueline Bourassa practices in Lake Charles, LA. The NPI Number for Jacqueline Bourassa is 1639557606 and holds a License No. PLC6140 (Louisiana).

The current practice location address for Jacqueline Bourassa is 2802 Hodges St, Lake Charles, LA and can be reached out via phone at 337-419-1873 and via fax at 337-656-2848.

Location: 2802 Hodges St, Lake Charles, LA, 70601-7368
person
Provider Profile Details
NPI Number
1639557606
Provider Name
Jacqueline Bourassa
Credential
Provider Entity Type
Individual
Gender
Female
Address
2802 Hodges St, Lake Charles, LA, 70601-7368
Phone Number
337-419-1873
Fax Number
337-656-2848
Provider Enumeration Date
05/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2802 Hodges St
City
State
Zip
70601-7368
Phone Number
337-419-1873
Fax Number
337-656-2848
person
Provider Business Mailing Address Details
Address
2802 Hodges St
City
State
Zip
70601-7368
Phone Number
337-419-1873
Fax Number
337-656-2848
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PLC6140 (Louisiana)
Definition
Definition to come...
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