| Patrick Boursiquot Lcsw Inc | |
|
951 Sansburys Way Suite 206 West Palm Beach FL 33411-3619 | |
| (561) 337-3647 | |
| (561) 337-3648 |
| Full Name | Patrick Boursiquot Lcsw Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 951 Sansburys Way, West Palm Beach, Florida |
| Authorized Official Name and Position | Patrick Boursiquot (PRESIDENT) |
| Authorized Official Contact | 5613373647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Boursiquot Lcsw Inc 951 Sansburys Way Suite 206 West Palm Beach FL 33411-3619 Ph: (561) 337-3647 | Patrick Boursiquot Lcsw Inc 951 Sansburys Way Suite 206 West Palm Beach FL 33411-3619 Ph: (561) 337-3647 |
| NPI Number | 1205131786 |
|---|---|
| Provider Enumeration Date | 01/14/2011 |
| Last Update Date | 01/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205131786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SW5848 (Florida) | Primary |
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