Matthew Bourne, MS Counseling
Counselor in Indianapolis, IN. Individual provider (NPI-1).
NPI number1124548433
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1124548433
- Entity type
- Individual (NPI-1)
- Name
- Matthew Bourne
- Credential
- MS Counseling
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 88000436A | IN | Yes |
Practice location
2506 Willowbrook Pkwy Ste 102Indianapolis, IN 46205-1542
Phone 317-803-2270 · Fax 317-217-1769
Mailing address
240 N Tillotson AveMuncie, IN 47304-3988
Phone 765-288-1928
Other practice locations
5794 Waterstone Way
Whitestown, IN 46075
Whitestown, IN 46075
Phone 225-610-2213
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