Individual provider · Type 1 NPI

Mary Clinard Borge, MA, LPC, NCC

Counselor · Wheaton, IL

NPI number 1760966816 Active

Practice location

1616 E Roosevelt Rd Ste 8
Wheaton, IL 60187-6850

Call (630) 588-1201 Map

Other practice locations

  • 1220 Iroquois Ave Ste 204, Naperville, IL 60563-8542 · (630) 588-1201

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X178.014136 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1760966816

Mary Clinard Borge, MA, LPC, NCC's National Provider Identifier is 1760966816, issued on Sep 24, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Wheaton, IL. The record was last updated on Sep 24, 2018.