person
Lisa C Bourgeault, BA,CASAC
Addiction (Substance Use Disorder) Counselor in Glens Falls, New York
NPI 1679695167

Lisa C Bourgeault is an Addiction (Substance Use Disorder) Counselor based in Glens Falls, NY and is specialized in Addiction (Substance Use Disorder). Lisa C Bourgeault practices in Glens Falls, NY and has the professional credentials of BA,CASAC. The NPI Number for Lisa C Bourgeault is 1679695167 and holds a License No. 4976 (New York).

The current practice location address for Lisa C Bourgeault is 10 Harlem St, Glens Falls, NY and can be reached out via phone at 518-926-7200 and via fax at 518-926-7036.

Location: 10 Harlem St, Glens Falls, NY, 12801-4413
person
Provider Profile Details
NPI Number
1679695167
Provider Name
Lisa C Bourgeault
Credential
BA,CASAC
Provider Entity Type
Individual
Gender
Female
Address
10 Harlem St, Glens Falls, NY, 12801-4413
Phone Number
518-926-7200
Fax Number
518-926-7036
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 Harlem St
City
State
Zip
12801-2934
Phone Number
518-926-7200
Fax Number
518-926-7036
person
Provider Business Mailing Address Details
Address
10 Harlem St
City
State
Zip
12801-2934
Phone Number
518-926-7200
Fax Number
518-926-7036
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4976 (New York)
Definition
Definition to come...
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