Gabriela Bourque
Individual provider Active NPI Counselor · Chalmette, LA
NPI 1780001289 · NPPES record last updated Mar 21, 2014
Key facts
- NPI
- 1780001289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 2626 Charles Dr
Chalmette, LA 70043-3779 - Phone
- (504) 278-4006
- NPI assigned
- Mar 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
2626 Charles Dr
Chalmette, LA 70043-3779
Mailing address
186 Martin LN
Des Allemands, LA 70030-4127
Phone (504) 858-6320
Other providers in Chalmette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2014. 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.