Kenneth Stephen Bourque, CDPT
Kenneth Stephen Bourque, CDPT is an Addiction (Substance Use Disorder) Counselor in Tacoma, Washington. Licensed in Washington. Registered with an NPI since 2019.
- Licensed in
- WA
- In the registry since
- 2019
Practice location Address checks out
5915 Orchard St WTacoma, WA 98467-3824
Phone: (253) 414-7461
Fax: (253) 627-8387
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 60833994 (WA) |
|---|
Record details
| NPI number | 1326602822 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDPT |
| Sole proprietor | No |
| NPI enumerated | April 30, 2019 |
| Last updated in NPPES | April 30, 2019 |
| Mailing address | 4329 Concordia Ln Se, Lacey, WA 98503-2150 |
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