Individual
JERRY BORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, M.DIV.
Contact information
Practice address
3600 MENAUL BLVD NE STE E, ALBUQUERQUE, NM 87110-2861
(505) 323-3785
(505) 323-3850
Mailing address
3600 MENAUL BLVD NE STE E, ALBUQUERQUE, NM 87110-2861
(505) 323-3785
(505) 323-3850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1564
NM
Other
Enumeration date
04/02/2007
Last updated
07/09/2007
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