Individual provider · Type 1 NPI
Deborah Bothun
Mental Health Counselor · La Jolla, CA
NPI number
1083594204
Active
Practice location
400 Prospect St Unit 102
La Jolla, CA 92037-4754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 18111 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1083594204
Deborah Bothun's National Provider Identifier is 1083594204, issued on Sep 8, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Jolla, CA. The record was last updated on Sep 8, 2025.