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Kristen Leanne Bourque, LCSW

Counselor, Addiction (Substance Use Disorder) in Fall River, MA. Individual provider (NPI-1).

NPI number1265736730
StatusActive
Last updated in NPPESDec 27, 2010

Details

NPI
1265736730
Entity type
Individual (NPI-1)
Name
Ms. Kristen Leanne Bourque
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Dec 27, 2010
Last updated
Dec 27, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)CSW01365RIYes

Practice location

22 Front St
Fall River, MA 02721-4302

Phone 508-676-1307 · Fax 508-674-4493

Mailing address

270 Douglas Rd
Warwick, RI 02886-2785

Phone 401-826-6695

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