National Provider Identifier

Kenneth Stephen Bourque, CDPT

Kenneth Stephen Bourque, CDPT is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Tacoma, WA and a listed phone number of (253) 414-7461.

NPI 1326602822Tacoma, WAAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated April 30, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1326602822
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
April 30, 2019
Last Updated
April 30, 2019

Practice Location

  • 5915 Orchard St W
  • Tacoma, WA 98467-3824

Phone: (253) 414-7461

Mailing Address

  • 4329 Concordia Ln Se
  • Lacey, WA 98503-2150

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

Browse Similar Providers

See more providers in the Counselor classification in University Place, WA.

Open Counselor providers in University Place, WA

Open the exact Addiction (Substance Use Disorder) specialty directory in University Place, WA

Biography

Kenneth Stephen Bourque, CDPT, is a Tacoma-based addiction counselor whose listed practice is with Consejo Counseling & Referral Service, an organization founded in 1978 and described by Consejo as Washington’s first Latino-based behavioral health care organization. Consejo’s substance-use program emphasizes trauma-informed outpatient care, assessments, case coordination, DUI and court-related services, and recovery support for youth and adults.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1326602822
Entity Type
Individual
Last Name
Bourque
First Name
Kenneth
Middle Name
Stephen
Credential
CDPT
Mailing Street Address
4329 Concordia Ln Se
Mailing City
Lacey
Mailing State
WA
Mailing ZIP Code
98503-2150
Mailing Country
US
Mailing Phone
(360) 350-2082
Practice Street Address
5915 Orchard St W
Practice City
Tacoma
Practice State
WA
Practice ZIP Code
98467-3824
Practice Country
US
Practice Phone
(253) 414-7461
Practice Fax
(253) 627-8387
Enumeration Date
April 30, 2019
Last Updated
April 30, 2019
Sex
Male
Sole Proprietor
No
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)
Other Identifiers
60833994 (WA, Washington State Department Of Health)