KADIE ANN BOURGOIN

COLUMBIA, SC
NPI1366067381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: SC  7631)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: FL  13044)
Enumeration Date2020-06-15
Last Update Date2025-03-27
Business Address
KADIE ANN BOURGOIN LPC
1817 PICKENS ST
COLUMBIA, SC 29201-2630
Phone number: 803-356-0134
Mailing Address
KADIE ANN BOURGOIN LPC
1817 PICKENS ST
COLUMBIA, SC 29201-2630
Phone number: 803-356-0134