LISA C BOURGEAULT

GLENS FALLS, NY
NPI1679695167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  4976)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
-- LISA C BOURGEAULT BA, CASAC
10 HARLEM ST
GLENS FALLS, NY 12801-2934
Phone number: 518-926-7200
Mailing Address
-- LISA C BOURGEAULT BA, CASAC
100 PARK ST
GLENS FALLS, NY 12801-4413
Phone number: 518-926-3207
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