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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COTY BOURQUE, LCSW

Active

COTY BOURQUE, LCSW is a Clinical Social Worker healthcare provider located in VICKSBURG, Mississippi. NPI 1356850960 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · VICKSBURG, MS

Registration Details

NPI Number
1356850960
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2017 (8.8437463172902 yrs)
Last Updated
May 13, 2025

Practice Information

Address
1911 MISSION 66 STE B
VICKSBURG, MS, 391803762
Browse MS providers · Browse ZIP 39180
Phone
3375197797
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Mental Health Counselor

Other Clinical Social Worker Providers in VICKSBURG, MS

Name Credential NPI
MRS. ANNETTE BRYANT LCSW 1407878663
MRS. ANDREA LASHUN WATTS C5643 1447359757
MRS. SHARON B HOLMBERG LCSW 1689774937
MISS TEMPIE BLAND LCSW 1649427782
KAREN LEE 1710488804
MR. BILLY FOSTER LCSW, NCC AP MAC 1174142574
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.