Michelle Boren in La Porte - Addiction (substance Use Disorder)
Michelle Boren - NPI 1861667636
Michelle Boren is a Addiction (substance Use Disorder) in La Porte, Indiana. Michelle Boren practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Michelle Boren is 1861667636. The last update date is 2012-09-17.
Michelle Boren's current location address is 316 Lincolnway, La Porte, Indiana. You can contact this provider via phone number 2197070178 and fax number 2193250855. The mailing address for Michelle Boren is 316 Lincolnway, La Porte, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michelle Boren |
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Address | 316 Lincolnway, La Porte, Indiana |
Phone Number | 2197070178 |
Fax Number | 2193250855 |
Sole Proprietor | N |
Credentials | LMHC, LCAC |
NPI Number Detail
NPI Number | 1861667636 |
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Provider Enumeration Date | 2008-04-23 |
Last Updated Date | 2012-09-17 |
Provider Mailing Address Detail
Address | 316 Lincolnway |
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City | La Porte |
State | Indiana (IN) |
Post Code | 46350 |
Phone Number | 2197070178 |
Fax Number | 2193250855 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 87000643A |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
100163580 | IN | -- |
Post Comment/ Review Below
What is the Michelle Boren's 1861667636?
The Michelle Boren's NPI (National Provider Identifier) Number is 1861667636. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michelle Boren located?
The Michelle Boren is located at 316 Lincolnway, La Porte, IN 46350.
What is Michelle Boren's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michelle Boren's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
When did the Michelle Boren receive its 1861667636?
The Michelle Boren was issued its 1861667636 on 2008-04-23, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Michelle Boren, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michelle Boren, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-09-17.