JERRY BORMAN LPC M.DIV. NPI 1598886392

NPI Information

NPI: 1598886392
Provider Name: JERRY BORMAN, LPC, M.DIV.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3600 MENAUL BLVD NE STE E
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 323-3785
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Jerry Borman, LPC, M.DIV. is a mental health counselor in Albuquerque, NM. Jerry Borman, LPC, M.DIV. NPI is 1598886392. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3600 MENAUL BLVD NE STE E
ALBUQUERQUE, NM
ZIP 87110-861
Phone: (505) 323-3785
Fax: (505) 323-3850

The enumeration date for this NPI number is 4/2/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	1564	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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