| Lisa C Bourgeault, BA, CASAC | |
|
10 Harlem St, Glens Falls, NY 12801-2934 | |
| (518) 926-7200 | |
| (518) 926-7036 |
| Full Name | Lisa C Bourgeault |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 10 Harlem St, Glens Falls, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679695167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4976 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa C Bourgeault, BA, CASAC 100 Park St, Glens Falls, NY 12801-4413 Ph: (518) 926-3207 | Lisa C Bourgeault, BA, CASAC 10 Harlem St, Glens Falls, NY 12801-2934 Ph: (518) 926-7200 |
Donna C Bjorkman, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 55 Elm St, Glens Falls, NY 12801 Phone: 518-793-7273 Fax: 518-798-5004 | |
Carrie Wood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Elm St, Glens Falls, NY 12801 Phone: 518-793-7273 Fax: 518-798-5004 | |
Mrs. Brooke Ann Avon, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Warren St Ste 209, Glens Falls, NY 12801 Phone: 518-338-3117 Fax: 518-831-5944 | |
Sarah Loubriel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Elm St, Glens Falls, NY 12801 Phone: 518-793-7273 Fax: 518-798-5004 | |
Carla M Frieman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Elm St, Glens Falls, NY 12801 Phone: 518-793-7273 Fax: 518-798-5004 | |
Tiffaney Pantoja, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Elm St, Glens Falls, NY 12801 Phone: 518-793-7273 Fax: 518-798-5004 | |
Albert Smaldone, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Elm St, Glens Falls, NY 12801 Phone: 518-793-7273 Fax: 518-798-5004 |