Individual provider · Type 1 NPI
Stacey K. Borden, M.ED., LADC-1
Addiction (Substance Use Disorder) Counselor · Boston, MA
NPI number
1992292361
Active
Practice location
22 Drydock Ave Fl 3
Boston, MA 02210-2386
Fax (617) 507-6176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14960 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1992292361
Stacey K. Borden, M.ED., LADC-1's National Provider Identifier is 1992292361, issued on Apr 20, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boston, MA. The record was last updated on Apr 20, 2018.