CHARLES BOURG

NEW ORLEANS, LA
NPI1205662418
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  8736)
Enumeration Date2024-09-12
Last Update Date2024-09-12
Business Address
Mr. CHARLES BOURG LPC
644 N CARROLLTON AVE
NEW ORLEANS, LA 70119-4760
Phone number: 504-383-3324
Mailing Address
Mr. CHARLES BOURG LPC
644 N CARROLLTON AVE
NEW ORLEANS, LA 70119-4760
Phone number: 504-383-3324
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