| Kenneth Stephen Bourque, CDPT | |
|
5915 Orchard St W, Tacoma, WA 98467-3824 | |
| (253) 414-7461 | |
| (253) 627-8387 |
| Full Name | Kenneth Stephen Bourque |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5915 Orchard St W, Tacoma, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326602822 | NPI | - | NPPES |
| 60833994 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 60833994 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Stephen Bourque, CDPT 4329 Concordia Ln Se, Lacey, WA 98503-2150 Ph: (360) 350-2082 | Kenneth Stephen Bourque, CDPT 5915 Orchard St W, Tacoma, WA 98467-3824 Ph: (253) 414-7461 |
Kenneth E Clifton, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-4631 | |
David Andrew Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5410 N 44th St, Tacoma, WA 98407 Phone: 253-759-9544 | |
Leah Marie Bedker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5410 N 44th St, Tacoma, WA 98407 Phone: 253-759-9544 | |
Ms. Kimberly Noel Zacher, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1201 S Proctor St, Tacoma, WA 98405 Phone: 253-396-5800 Fax: 253-759-7008 | |
Mr. James Wesley Pogue Jr., MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Yakima Ave, Tacoma, WA 98405 Phone: 253-396-5237 | |
Ms. Sarah Lisa Bennett, MA, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 3021 6th Ave, Tacoma, WA 98406 Phone: 253-326-2816 | |
Barbara J Cook, AA Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 S 13th St, Tacoma, WA 98402 Phone: 253-396-5000 Fax: 253-383-5548 |