Search › Texas › 101YA0400X
Jean Bourque, LCDC,MS
NPI 1770413346 · on the registry since 2026 · sole proprietor
Practice
- Address
- 165 Fir Ln
Vidor, TX 77662 - Phone
- (903) 920-3964
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-22
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 Texas