NPI 1033930193

Krystyn Bourg, MAPLPC

Practitioner Counselor Chalmette, LA

Practice location

Address: 306 W Judge Perez Dr, Chalmette, LA 70043-4904
Phone: (504) 656-4333
Mailing address: 5705 Canal Blvd, New Orleans, LA 70124-2814

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence PLC9446 (LA)

Other Counselor providers in Louisiana →

Registry record

NPI: 1033930193
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2024
Record last updated: 22 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.