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Individual
DANIEL A BORT
Active
Individual
DANIEL A BORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LAT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC986, LAT333
WY
101YM0800X
Mental Health Counselor
Primary
LPC986
WY
101YP2500X
Professional Counselor
LPC-986
WY
Other
Enumeration date
05/01/2007
Last updated
09/09/2015
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