Bourgeault, Lisa C

Bourgeault, Lisa C is an individual health care provider with primary practice located at 10 Harlem St , Glens Falls NY 12801-2934. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bourgeault, Lisa C can be contacted via phone (518) 926-7200.

Contact Information

Primary practice address
10 Harlem St Glens Falls NY 12801-2934
Phone: (518) 926-7200
Fax: (518) 926-7036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4976 New York

Profile Details

NPI number 1679695167
LBN Legal business name Bourgeault, Lisa C
Credentials BA, CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers