Search › Massachusetts › 101YA0400X
Nicole Bourgeois, M.ED, LADC1
NPI 1043727712 · on the registry since 2018
Practice
- Address
- 175 Crescent Ave
Chelsea, MA 02150 - Phone
- (617) 889-8779
- Clinicians at this address
- 58
Additional practice sites
- 25 Staniford St, Boston, MA
- 11 Circle Ave, Lynn, MA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts