Individual
ANNE THERESA BORNHOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 SECOR RD, SEQUIM, WA 98382-9720
(360) 774-6904
Mailing address
302 SECOR RD, SEQUIM, WA 98382-9720
(360) 774-6904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61236741
WA
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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