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NPI Code Detail

MEDICARE: SHARI ANN BORGESON LPC

MEDICARE: SHARI ANN BORGESON LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorLICDC.161345OH
2101YP2500XProfessional CounselorE.0002805-SUPVOH

General Provider Information

NPI Number : 1932424892
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARI ANN BORGESON LPC
Provider Business Mailing Address
First Line : 246 NORTHLAND DR STE 200A
Second Line :
City : MEDINA
State : OH
Zip : 44256-3440
Country : US
Telephone Number : 330-725-9195
Fax Number :
Provider Business Practice Location Address
First Line : 246 NORTHLAND DR STE 200A
Second Line :
City : MEDINA
State : OH
Zip : 44256-3440
Country : US
Telephone Number : 330-725-9195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2010
Last Update Date : 06/06/2023

Similar Medicare Providers

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1487888947 — SUSAN J RAIR KRUG MSW,LICSW
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1851684427 — MS. KATELYN M SHAI LPCC
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1245588375 — KEVIN FASIG LPCC-S, LICDC
Practice Location Address:
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44256-3440
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Directions to “ SHARI ANN BORGESON LPC” Practice Location

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