Individual
AMY BOURDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
741 N GRAND AVE STE 302, WAUKESHA, WI 53186-4841
(262) 789-1191
(262) 542-0823
Mailing address
34201 VENICE PARK RD, DELAFIELD, WI 53018-1322
(303) 641-7569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5488
WI
101YP2500X
Professional Counselor
Primary
5488
WI
Other
Enumeration date
09/20/2018
Last updated
02/02/2026
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