Individual provider · Type 1 NPI

Jacob Ryan Borge, M.A., LPC

Mental Health Counselor · Northbrook, IL

NPI number 1982473161 Active

Practice location

3100 Dundee Rd Ste 101
Northbrook, IL 60062-2462

Mailing address

4431 N Racine Ave Apt 3S
Chicago, IL 60640-5661

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.019722 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1982473161

Jacob Ryan Borge, M.A., LPC's National Provider Identifier is 1982473161, issued on Dec 28, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Northbrook, IL. The record was last updated on Dec 28, 2023.