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Search › Mississippi › 1041C0700X

Coty Bourque, LCSW

NPI 1356850960 · on the registry since 2017

Practice

Address
1911 Mission 66 Ste B
Vicksburg, MS 39180
Phone
(337) 519-7797
Organisation at this address
Cds Home Care, Inc.
Vicksburg Pathology Laboratory
M & M Behavioral Health Center
Mdb Behavioral Health Services Llc
Central Mississippi Prevention Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
Sex
Male
Record last updated
2025-05-13

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 Mississippi