person
Mary Lou Bourque, LPC
Mental Health Counselor in Saint Louis, Missouri
NPI 1750380515

Mary Lou Bourque is a Mental Health Counselor based in Saint Louis, MO and is specialized in Mental Health. Mary Lou Bourque practices in Saint Louis, MO and has the professional credentials of LPC. The NPI Number for Mary Lou Bourque is 1750380515 and holds a License No. 000493 (Missouri).

The current practice location address for Mary Lou Bourque is 763 S New Ballas Rd, Saint Louis, MO and can be reached out via phone at 314-569-1717 and via fax at 314-569-0441.

Location: 763 S New Ballas Rd, Saint Louis, MO, 63128-3441
person
Provider Profile Details
NPI Number
1750380515
Provider Name
Mary Lou Bourque
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
763 S New Ballas Rd, Saint Louis, MO, 63128-3441
Phone Number
314-569-1717
Fax Number
314-569-0441
Provider Enumeration Date
07/14/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
763 S New Ballas Rd
City
State
Zip
63141-8704
Phone Number
314-569-1717
Fax Number
314-569-0441
person
Provider Business Mailing Address Details
Address
763 S New Ballas Rd
City
State
Zip
63141-8704
Phone Number
314-569-1717
Fax Number
314-569-0441
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
000493 (Missouri)
Definition
Definition to come...
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