MARLYS ANN BORRESON


Address: 200 N 4th St, Suite 205b, Boise, ID 83702-6001
Phone: 2083687800

MARLYS ANN BORRESON (NPI# 1659334944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659334944
Entity Type Individual
Full Name MARLYS ANN BORRESON
Credential L.C.P.C.
Practice Address 200 N 4th St
Suite 205b
Boise
ID 83702-6001
Practice Telephone 2083687800
Mailing Telephone 2083687800
Enumeration Date 2006-04-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
113 ID Behavioral Health & Social Service Providers

Office Location

Street Address 200 N 4TH ST
SUITE 205B
City BOISE
State ID
Zip Code 83702-6001

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BOISE
Zip Code 83702

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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