Doctor Name: | MRS. REBECCA ANN BORST |
NPI Number: | 1023259165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LBSW, LLPC |
License Number: | 6401007107 |
Business Practice Address: | 1270 Doris Rd Auburn Hills, MI - 483262617 |
Business Phone Number: | 2485351548 |
Business Fax Number: | 2482769280 |
Mailing Address: | 1270 Doris Rd, AUBURN HILLS |
State: | MI |
Postal Code: | 483262617 |
Phone Number: | 2485351548 |
Fax Number: | 2482769280 |
NPI Enumeration Date: | 03/19/2009 |
NPI Last Update Date: | 03/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401007107 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |