Provider Demographics
NPI:1528340338
Name:BOURSIER, JANET (RN, CHT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:BOURSIER
Suffix:
Gender:F
Credentials:RN, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1865 PASEO SAN LUIS STE C
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-5816
Mailing Address - Country:US
Mailing Address - Phone:520-266-4086
Mailing Address - Fax:
Practice Address - Street 1:1865 PASEO SAN LUIS STE C
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-5816
Practice Address - Country:US
Practice Address - Phone:520-266-4086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor