| Doctor Name: | MELISSA FIVECOAT-BORGER |
| NPI Number: | 1255421780 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, CADC III |
| License Number: | C1959 |
| Business Practice Address: | 375 Nw Beaver St Ste 101 Prineville, OR - 977541802 |
| Business Phone Number: | 5414470707 |
| Business Fax Number: | 5414162152 |
| Mailing Address: | 409 Ne Greenwood Ave Ste 101, BEND |
| State: | OR |
| Postal Code: | 977014616 |
| Phone Number: | 5413833005 |
| Fax Number: | 5413831883 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 12/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C1959 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |