Individual
CELESTE L BORTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
2307 OLIVE ST, ATLANTIC, IA 50022-9768
(712) 243-5091
(712) 243-1337
Mailing address
PO BOX 34, ATLANTIC, IA 50022-0034
(712) 243-5091
(712) 243-1337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T16096
IA
101YM0800X
Mental Health Counselor
Primary
114939
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177394
—
IA
01
—
68236
WELLMARK
IA
Enumeration date
06/20/2016
Last updated
05/10/2023
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