Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Bourque

Individual provider School Counselor · NPI 1053268979

Carly Bourque is a School Counselor in Pine Valley, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

3305 Buckman Springs Rd
Pine Valley, CA 91962-4005
Phone: (619) 326-6662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Counselor (primary) Taxonomy 101YS0200X · Licence 220102083 (CA)

Record details

NPI number1053268979
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address3305 Buckman Springs Rd, Pine Valley, CA 91962-4005

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