Individual
JEREMY BORSOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
3964 E MAIN ST, COLUMBUS, OH 43213-2949
(614) 252-2500
Mailing address
3964 E MAIN ST, COLUMBUS, OH 43213-2949
(614) 252-2500
(614) 252-4200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OH
101YM0800X
Mental Health Counselor
C.1700341
OH
101YM0800X
Mental Health Counselor
Primary
E.1901566
OH
Other
Enumeration date
08/24/2015
Last updated
12/19/2019
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