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KENNETH STEPHEN BOURQUE CDPT
NPI 1326602822
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since April 30, 2019
5915 ORCHARD ST W, TACOMA, WA 98467(253) 414-7461(253) 627-8387 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Stephen Bourque Cdpt NPPES

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

KENNETH STEPHEN BOURQUE CDPT (NPI 1326602822) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (60833994) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1326602822
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKENNETH STEPHEN BOURQUECredential: CDPT
Location Address5915 ORCHARD ST WTacoma, WA 98467-3824
Mailing Address4329 Concordia Ln SeLacey, WA 98503-2150 · (360) 350-2082
Phone(253) 414-7461
Fax(253) 627-8387
Sole ProprietorNo
Enumeration DateApril 30, 2019
✔ NPI 1326602822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 60833994
5915 ORCHARD ST W, Tacoma, WA 98467
Open in Google Maps ↗

Other Identifiers 1

Other60833994WA · Washington State Department Of Health

Other Providers at the Same Location NPPES 20

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

ARTHUR M FLEMING
Counselor (Addiction (Substance Use Disorder))
5915 ORCHARD ST W
TACOMA, WA 98467
Pierce County (253) 414-7461
LUCERITO WENDINGER MAA, LMHCA, MHP
Counselor (Mental Health)
5915 ORCHARD ST W
TACOMA, WA 98467
Pierce County (253) 414-7461
KELSEY RUTH WAGNER
Student in an Organized Health Care Education/Training Program
5915 ORCHARD ST W
TACOMA, WA 98467
Pierce County (253) 414-7461
REBECCA ANN AUMAN
Student in an Organized Health Care Education/Training Program
5915 ORCHARD ST W
TACOMA, WA 98467
Pierce County (253) 414-7461
RYAN JACQUES NAZEEM SILER SUDP/T
Counselor (Addiction (Substance Use Disorder))
5915 ORCHARD ST W
TACOMA, WA 98467
Pierce County (253) 414-7461
NEIL JUNIOR CORTEZ
Counselor (Addiction (Substance Use Disorder))
5915 ORCHARD ST W
TACOMA, WA 98467
Pierce County (253) 414-7461
ASHLEY MARIE PEREZ SOTO
Counselor (Mental Health)
5915 ORCHARD ST W
UNIVERSITY PLACE, WA 98467
Pierce County (253) 200-0813
ANALISA HERRERA
Student in an Organized Health Care Education/Training Program
5915 ORCHARD ST W
UNIVERSITY PLACE, WA 98467
Pierce County (253) 414-7461

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 Kenneth Bourque's NPI number?

The NPI number for Kenneth Bourque is 1326602822. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Kenneth Bourque located?

Kenneth Bourque practices at 5915 Orchard St W, Tacoma, WA 98467. The listed phone number is (253) 414-7461.

What is Kenneth Bourque's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kenneth Bourque was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.