Mary Lou Bourque, LPC is a mental health counselor in Saint Louis, MO. Mary Lou Bourque, LPC NPI is 1750380515. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
763 S NEW BALLAS RD
SUITE 110
SAINT LOUIS, MO
ZIP 63141-704
Phone: (314) 569-1717
Fax: (314) 569-0441
The enumeration date for this NPI number is 7/14/2005 and was last updated on 7/12/2007.