Jesselyn Bourque

NPI 1386971422 · on the registry since 2009

Practice

Address: 125 N Lake St
Manistique, MI 49854
Phone: (906) 341-2144
Fax: (906) 341-5793
Organisation at this address: Hiawatha Community Mental Health Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: Social Worker
104100000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-11-11

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 Michigan