Organization
THE ACT THERAPIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA ELIZABETH BORUSHOK PHD (PSYCHOLOGIST/OWNER)
(704) 313-8803
Entity
Organization
Contact information
Practice address
1026 JAY ST # B181, CHARLOTTE, NC 28208-4431
(704) 313-8803
Mailing address
1026 JAY ST # B181, CHARLOTTE, NC 28208-4431
(704) 313-8803
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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