NPI Profile for MICHELLE BOREN in LA PORTE, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1861667636 |
|
| Status | Active | |
| Credentials | LMHC, LCAC | |
| Entity | Individual | |
| Enumeration date | 04/23/2008 | |
| Last updated | 09/17/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHELLE BOREN
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