Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN EMERY BOURQUE
Active Sole ProprietorETHAN EMERY BOURQUE is a Counselor healthcare provider located in WILTON, Connecticut. NPI 1376321000 is currently active in the NPPES registry. Verify at CMS.
Counselor · WILTON, CT
Registration Details
- NPI Number
- 1376321000
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2023 (2.8835162907899 yrs)
- Last Updated
- Sep 14, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
396 DANBURY RD STE 2AWILTON, CT, 068972024Browse CT providers · Browse ZIP 06897
- Phone
- 2032027654
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in WILTON, CT
| Name | Credential | NPI |
|---|---|---|
| DR. GEORGE R MEGRUE | PH.D., LPC | 1083709620 |
| STEFANIE SOLOMONS | — | 1245101435 |
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.