| Ethan Emery Bourque, | |
|
396 Danbury Rd Ste 2a, Wilton, CT 06897-2024 | |
| (203) 202-7654 | |
| Not Available |
| Full Name | Ethan Emery Bourque |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 396 Danbury Rd Ste 2a, Wilton, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376321000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Emery Bourque, 396 Danbury Rd Ste 2a, Wilton, CT 06897-2024 Ph: () - | Ethan Emery Bourque, 396 Danbury Rd Ste 2a, Wilton, CT 06897-2024 Ph: (203) 202-7654 |
Ms. Beryl Yudkin, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 387 Danbury Rd, Wilton, CT 06897 Phone: 203-641-1866 | |
Kimberly A Cognato, LADC, CCDP, CAC, Counselor Medicare: Not Enrolled in Medicare Practice Location: 372 Danbury Rd, Wilton, CT 06897 Phone: 860-362-5225 Fax: 888-242-2103 | |
Dr. George R Megrue, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Turner Lane, Wilton, CT 06897 Phone: 203-762-3840 Fax: 203-762-3840 | |
Carolee Anne Paruta, LMFT, LADC Counselor Medicare: Medicare Enrolled Practice Location: 372 Danbury Rd, Wilton, CT 06897 Phone: 860-824-1397 | |
Dr. Harold Dibner, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 78 Spoonwood Rd, Wilton, CT 06897 Phone: 203-834-2844 Fax: 203-834-2806 | |
Meghan Lee Rudolph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29 Snowberry Ln, Wilton, CT 06897 Phone: 203-913-2429 |