Individual
WILLIAM L BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1007 NORTH MAIN ST, DAYVILLE, CT 06241-0839
(860) 456-2261
Mailing address
775 OCEAN AVE, NEW LONDON, CT 06320-3023
(860) 440-3133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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