| Doctor Name: | BORAMIE KIM NOORDHOFF |
| NPI Number: | 1477839629 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, PLPC |
| License Number: | 2011036262 |
| Business Practice Address: | 2 Melgrove Ln Suite 100 Hannibal, MO - 634012200 |
| Business Phone Number: | 5732212273 |
| Business Fax Number: | 5732211720 |
| Mailing Address: | 2 Melgrove Ln, Suite 100 HANNIBAL |
| State: | MO |
| Postal Code: | 634012200 |
| Phone Number: | 5732212273 |
| Fax Number: | 5732211720 |
| NPI Enumeration Date: | 11/01/2011 |
| NPI Last Update Date: | 10/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 2011036262 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |