Kristina Bourgoin, LMFT
Marriage & Family Therapist in Dudley, MA. Individual provider (NPI-1).
NPI number1396278784
StatusActive
Last updated in NPPESJul 28, 2023
Details
- NPI
- 1396278784
- Entity type
- Individual (NPI-1)
- Name
- Kristina Bourgoin
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2017
- Certification date
- Jul 28, 2023
- Last updated
- Jul 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1794 | MA | Yes |
| 101YM0800X | Counselor, Mental Health | 1794 | MA | |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Kristina Hanley (Former Name)
Practice location
241 Dresser Hill RdDudley, MA 01571-6328
Phone 603-505-0326
Mailing address
241 Dresser Hill RdDudley, MA 01571-6328
Phone 603-505-0326
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