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Organization
MARK A BORLAND
Active
Organization
MARK A BORLAND
Active
Other names
Millcreek Counseling Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A BORLAND (OWNER)
(814) 722-7467
Entity
Organization
Contact information
Practice address
1738 W 8TH ST, ERIE, PA 16505-5024
(814) 722-7467
(814) 836-8194
Mailing address
6911 WATER ST, FAIRVIEW, PA 16415-2005
(814) 722-7467
(814) 836-8194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
PA
01
—
1029517440001
PROMISE ID
PA
01
—
12686599
CAQH
PA
01
—
1295145795
NPI
PA
Enumeration date
11/29/2018
Last updated
10/15/2020
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