Jonathan Hart Borisch
Counselor in Salem, MA. Individual provider (NPI-1).
NPI number1114701166
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1114701166
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Hart Borisch
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2023
- Certification date
- Aug 22, 2023
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
110 Boston StSalem, MA 01970-1402
Phone 781-592-5691
Mailing address
110 Boston StSalem, MA 01970-1402
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