CARLY BOURQUE
NPI 1053268979
Counselor - School in Pine Valley, CA

Active since March 11, 2026
3305 BUCKMAN SPRINGS RD, PINE VALLEY, CA 91962(619) 326-6662 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly Bourque NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY BOURQUE (NPI 1053268979) is an individual school provider in Pine Valley, California, licensed in California (220102083) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1053268979
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameCARLY BOURQUE
Location Address3305 BUCKMAN SPRINGS RDPine Valley, CA 91962-4005
Mailing Address3305 Buckman Springs RdPine Valley, CA 91962-4005
Sole ProprietorNo
Enumeration DateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
NPI 1053268979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License Licensed in CA · 220102083
3305 BUCKMAN SPRINGS RD, Pine Valley, CA 91962

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health and Wellness Coach
3305 BUCKMAN SPRINGS RD
PINE VALLEY, CA 91962
Counselor (School)
3305 BUCKMAN SPRINGS RD
PINE VALLEY, CA 91962
Health and Wellness Coach
3305 BUCKMAN SPRINGS RD
PINE VALLEY, CA 91962
Counselor
3305 BUCKMAN SPRINGS RD
PINE VALLEY, CA 91962

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Bourque's NPI number?

The NPI number for Carly Bourque is 1053268979. It was assigned to this individual provider in the NPPES registry on March 11, 2026.

Where is Carly Bourque located?

Carly Bourque practices at 3305 Buckman Springs Rd, Pine Valley, CA 91962. The listed phone number is (619) 326-6662.

What is Carly Bourque's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Carly Bourque was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.