Kenneth Stephen Bourque, CDPT is an addiction (substance use disorder) counselor in Tacoma, WA. Kenneth Stephen Bourque, CDPT NPI is 1326602822. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5915 ORCHARD ST W
TACOMA, WA
ZIP 98467-824
Phone: (253) 414-7461
Fax: (253) 627-8387
The enumeration date for this NPI number is 4/30/2019 and was last updated on 4/30/2019.