Individual
CHRISTINA DANIELLE BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3601 MINNESOTA DR, BLOOMINGTON, MN 55435-5281
(844) 994-3631
Mailing address
3601 MINNESOTA DR, BLOOMINGTON, MN 55435-5281
(844) 994-3631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03298
MN
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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