Individual
AMY BORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT, ATR
Contact information
Practice address
23161 MILL CREEK DR, SUITE # 335, LAGUNA HILLS, CA 92653-7908
(949) 547-9876
Mailing address
PO BOX 74122, SAN CLEMENTE, CA 92673-0138
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC39153
CA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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