Mrs Michele Nordgren Bourque, LMFT in Lacey, WA - Marriage & Family Therapist

Mrs Michele Nordgren Bourque, LMFT is a Marriage & Family Therapist based in Lacey, Washington. Mrs Michele Nordgren Bourque is licensed to practice in Washington (license number MG60472487) and her current practice location is 4329 Concordia Lane Se, Lacey, Washington. She can be reached at her office (for appointments etc.) via phone at (360) 819-9318.

NPI number for Mrs Michele Nordgren Bourque is 1457838989 and her current mailing address is 170 S Lincoln, Ste 100, Spokane, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457838989.

Contact Information

	Mrs Michele Nordgren Bourque, LMFT
	4329 Concordia Lane Se, Lacey, WA 98503
	(360) 819-9318
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Michele Nordgren Bourque
Gender	Female
Speciality	Marriage & Family Therapist
Location	4329 Concordia Lane Se, Lacey, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1457838989
Provider Enumeration Date: 07/26/2018
Last Update Date: 03/20/2020

Medical Identifiers

Medical identifiers for Mrs Michele Nordgren Bourque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457838989	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TF0000X	Psychologist - Family	MG60472487 (Washington)	Secondary
106H00000X	Marriage & Family Therapist	MG60472487 (Washington)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Michele Nordgren Bourque is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Michele Nordgren Bourque, LMFT 170 S Lincoln, Ste 100, Spokane, WA 99201 Ph: (360) 819-9318	Mrs Michele Nordgren Bourque, LMFT 4329 Concordia Lane Se, Lacey, WA 98503 Ph: (360) 819-9318

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Mrs Michele Nordgren Bourque, LMFT - in Lacey, WA