| NPI | 1639824725 |
|---|---|
| Other Name | CECILY RENEE BOURLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 273316) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2025-10-17 |