JESSELYN BOURQUE NPI 1386971422

NPI Information

NPI: 1386971422
Provider Name: JESSELYN BOURQUE
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
125 N LAKE ST
MANISTIQUE, MI
ZIP 49854
Phone: (906) 341-2144
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Jesselyn Bourque is a social worker in Manistique, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Jesselyn Bourque NPI is 1386971422. 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:

125 N LAKE ST
MANISTIQUE, MI
ZIP 49854-234
Phone: (906) 341-2144
Fax: (906) 341-5793

The enumeration date for this NPI number is 11/11/2009 and was last updated on 11/11/2009.

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	104100000X	Social Worker		6803085678	MICHIGAN	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: 5/5/2024

NPI Synchronization or Removal

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