Doctor Name: | ALEX BORTON |
NPI Number: | 1023439908 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, LMHC |
License Number: | LH60263855 |
Business Practice Address: | 214 N Commercial St # 100 Bellingham, WA - 982254410 |
Business Phone Number: | 3603032981 |
Business Fax Number: | |
Mailing Address: | 2648 Donovan Ave, BELLINGHAM |
State: | WA |
Postal Code: | 982257624 |
Phone Number: | 3603032981 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2013 |
NPI Last Update Date: | 12/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH60263855 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |