Individual
MATTHEW BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS COUNSELING
Contact information
Practice address
2506 WILLOWBROOK PKWY STE 102, INDIANAPOLIS, IN 46205-1542
(317) 803-2270
(317) 217-1769
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
88000436A
IN
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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