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Individual

TERI LYNN BOURDEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC-ADVANCED

Contact information

Practice address
1703 FRONT ST, KEESEVILLE, NY 12944-3619
(518) 834-5550
(518) 834-5557
Mailing address
1703 FRONT ST, KEESEVILLE, NY 12944-3619
(518) 834-5550
(518) 834-5557

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34012
NY

Other

Enumeration date
07/15/2022
Last updated
07/15/2022
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