Individual
NICOLE BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LADC1
Contact information
Practice address
175 CRESCENT AVE, CHELSEA, MA 02150-3009
(617) 889-8779
Mailing address
175 CRESCENT AVE, CHELSEA, MA 02150-3009
(617) 889-8779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17801
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
01/04/2018
Last updated
02/26/2020
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