Individual
MEGAN LYNN BOURGUILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 330-6054
(203) 331-4716
Mailing address
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 330-6054
(203) 331-4716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002136
CT
Other
Enumeration date
07/08/2009
Last updated
03/15/2024
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