Individual
MICHAEL BOURNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3324 RUE ROYALE ST, SAINT CHARLES, MO 63301-8321
(314) 287-6267
Mailing address
3405 SUBLETTE ST, SAINT CHARLES, MO 63301-8250
(314) 799-6872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2021018630
MO
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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