Individual
COURTNEY LYNN BOURLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3400 KERBEY LN, AUSTIN, TX 78703-1455
(512) 791-2988
Mailing address
3104 HARRIS BLVD, AUSTIN, TX 78703-1422
(512) 791-2988
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
53356
TX
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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