Kristina Bourgoin, LMFT
Individual provider Active NPI Marriage & Family Therapist · Dudley, MA
NPI 1396278784 · NPPES record last updated Jul 28, 2023
Key facts
- NPI
- 1396278784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1794 (MA)
- Practice address
- 241 Dresser Hill Rd
Dudley, MA 01571-6328 - Phone
- (603) 505-0326
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristina Bourgoin, LMFT, LLC | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1794 | MA | |
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 1794 | MA | Yes |
Addresses
Primary practice location
241 Dresser Hill Rd
Dudley, MA 01571-6328
Mailing address
241 Dresser Hill Rd
Dudley, MA 01571-6328
Phone (603) 505-0326
Other names
- Kristina Hanley
Other providers in Dudley, MA
- Jason Avakian
- Niove Esther Baez Guerrero
- Timothy Richard Bennett
- James Michael Bilodeau
- Lillian Joan Bonin
- Susan Boyle
- Nicole Chege
- William Mark Coffey
- Cross Roads Trolley Equipment Inc.
- Cross Roads Trolley, Inc
All providers in Dudley, MA · Marriage & Family Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.