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

TERI LYNN BOURDEAU, CASAC-ADVANCED

Active

TERI LYNN BOURDEAU, CASAC-ADVANCED is a Addiction (Substance Use Disorder) Counselor healthcare provider located in KEESEVILLE, New York. NPI 1568196319 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · KEESEVILLE, NY

Registration Details

NPI Number
1568196319
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2022 (4.0593556442333 yrs)
Last Updated
Jul 15, 2022
License
34012 (NY)

Practice Information

Address
1703 FRONT ST
KEESEVILLE, NY, 129443619
Browse NY providers · Browse ZIP 12944
Phone
5188345550
Fax
5188345557
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.