Individual
ALIDA MARIE BOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W RESERVE DR, KALISPELL, MT 59901-2118
(406) 366-6109
Mailing address
PO BOX 8556, KALISPELL, MT 59904-1556
(406) 366-6109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BHH-LCPC-LIC63965
MT
Other
Enumeration date
02/03/2022
Last updated
06/27/2023
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