Healthcare Provider Details

I. General information

NPI: 1467377622
Provider Name (Legal Business Name): JADE EVERETTE BORNE LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5245 N STERLING SPRINGS DR
TUCSON AZ
85749-7144
US

IV. Provider business mailing address

5245 N STERLING SPRINGS DR
TUCSON AZ
85749-7144
US

V. Phone/Fax

Practice location:
  • Phone: 713-294-8556
  • Fax:
Mailing address:
  • Phone: 713-294-8556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number18581
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number23287
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: