Bourque, Michele Nordgren

Bourque, Michele Nordgren is an individual health care provider with primary practice located at 4329 Concordia Lane Se , Lacey WA 98503. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Bourque, Michele Nordgren can be contacted via phone (360) 819-9318.

Contact Information

Primary practice address
4329 Concordia Lane Se Lacey WA 98503
Phone: (360) 819-9318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X MG60472487 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MG60472487 Washington

Profile Details

NPI number 1457838989
LBN Legal business name Bourque, Michele Nordgren
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2018
Last updated Mar 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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