Individual
SEAN BOURGEOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
628 CENTER ST, CHICOPEE, MA 01013-1589
(413) 233-1478
Mailing address
628 CENTER ST, CHICOPEE, MA 01013-1589
(413) 233-1478
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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