DEBORAH BOTHUN NPI 1083594204

NPI Information

  • NPI: 1083594204
  • Provider Name: DEBORAH BOTHUN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 400 PROSPECT ST UNIT 102
    LA JOLLA, CA
    ZIP 92037
  • Phone: (310) 663-1311

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NPI Details

Deborah Bothun is a mental health counselor in La Jolla, CA. Deborah Bothun NPI is 1083594204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 PROSPECT ST UNIT 102
LA JOLLA, CA
ZIP 92037-754
Phone: (310) 663-1311

The enumeration date for this NPI number is 9/8/2025 and was last updated on 9/8/2025.

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
1101YM0800XCounselorMental Health18111CALIFORNIAYes

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: 3/30/2025

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