JORDIN LEIGH BOURQUE LMSW NPI 1861155780

NPI Information

NPI: 1861155780
Provider Name: JORDIN LEIGH BOURQUE, LMSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3943 W GRISWOLD RD
PHOENIX, AZ
ZIP 85051
Phone: (928) 925-5251
Get Directions

Jordin Leigh Bourque, LMSW is a mental health counselor in Phoenix, AZ. Jordin Leigh Bourque, LMSW NPI is 1861155780. 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:

3943 W GRISWOLD RD
PHOENIX, AZ
ZIP 85051-633
Phone: (928) 925-5251

The enumeration date for this NPI number is 10/18/2021 and was last updated on 10/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		ARIZONA	No
2	101YM0800X	Counselor	Mental Health	LMSW-18617	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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