Alex Bourque's National Provider Identifier (NPI) Details
Alex Bourque, LCSW
NPI: 1245078146
Enumeration Date: 2024-07-16
Last updated: 2024-10-23
Sole Proprietor: YES
Status: active
Postal Address: 8752 QUARTERS LAKE RD., BLDG. 9, BATON ROUGE, LA
Phone: 225-922-9122
Primary Practice Address: 8752 QUARTERS LAKE RD., BLDG. 9, BATON ROUGE, LA
Practice's phone: 225-922-9122