Doctor Name: | STEPHEN SEAN BORCHERS |
NPI Number: | 1720310584 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ASW |
License Number: | 20346 |
Business Practice Address: | 2240 Winrow Ave Usa Meddac, Rwbahc Fort Huachuca, AZ - 85613 |
Business Phone Number: | 5205332460 |
Business Fax Number: | 5205330799 |
Mailing Address: | 25728 Miramonte St, REDLANDS |
State: | CA |
Postal Code: | 923738489 |
Phone Number: | 9092600365 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2010 |
NPI Last Update Date: | 02/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 20346 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |