Individual
MRS. KATHLEEN MARY BORNARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1061 E OCEAN HWY, HOLLY RIDGE, NC 28445-8719
(910) 803-0981
(910) 803-0981
Mailing address
814 E OCEAN HWY, HOLLY RIDGE, NC 28445-8714
(910) 803-0981
(910) 803-0981
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701004021
VA
101YP2500X
Professional Counselor
Primary
2488
NC
Other
Enumeration date
08/26/2008
Last updated
05/01/2020
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