| Coty Bourque, LCSW | |
|
1911 Mission 66 Ste B, Vicksburg, MS 39180-3762 | |
| (337) 519-7797 | |
| Not Available |
| Full Name | Coty Bourque |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1911 Mission 66 Ste B, Vicksburg, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356850960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Coty Bourque, LCSW 1413 Willow St, New Iberia, LA 70560-1066 Ph: (337) 519-7797 | Coty Bourque, LCSW 1911 Mission 66 Ste B, Vicksburg, MS 39180-3762 Ph: (337) 519-7797 |
Kayla Moriarty, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 601-665-4162 Fax: 855-830-3484 |
Anna Adcock, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 601-665-4162 Fax: 855-830-3484 |
Kathleen Chappelear, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 601-665-4162 |
Mr. Billy Foster, LCSW, NCC AP MAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Alfred Dr, Vicksburg, MS 39180 Phone: 601-415-9424 |
Carey Martin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 601-665-4162 Fax: 855-830-3484 |
Mrs. Annette Bryant, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1107 Openwood St, Vicksburg, MS 39183 Phone: 601-831-4402 Fax: 601-206-0672 |
Kelly Maples, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 601-456-2598 Fax: 855-830-3484 |