Individual
MR. MICHAEL JOHN BOURQUE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
1719 OAKLEY CT APT 8, THIBODAUX, LA 70301-4449
(337) 322-5894
Mailing address
1719 OAKLEY CT APT 8, THIBODAUX, LA 70301-4449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9136
LA
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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