Lacey Bourgoin, SLP-A
Lacey Bourgoin, SLP-A is a Mental Health Counselor in Randolph, Maine. Licensed in Pennsylvania. Registered with an NPI since 2014.
- Licensed in
- PA
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
17 School StRandolph, ME 04346-5143
Phone: (207) 588-2699
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Assistant (primary) | Taxonomy 2355S0801X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence BH001153 (PA) |
Record details
| NPI number | 1528467792 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SLP-A |
| Sole proprietor | No |
| NPI enumerated | August 14, 2014 |
| Last updated in NPPES | August 21, 2024 |
| Certification date | August 21, 2024 |
| Mailing address | 17 School St, Randolph, ME 04346-5143 |
Other providers in Randolph
-
Thomas Andrew Bell
46 Windsor St, Randolph, ME 04346-5206 · (802) 272-8108
-
MS. Carla Jane Mowatt, LMSW-CC
9 Hillcrest Ave, Randolph, ME 04346 · (207) 582-9206
-
Where Healing Begins PLLC
6 Pleasant St, Randolph, ME 04346-5232 · (818) 338-0504