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Heather Rae Borges, SUDRC 21446

Counselor, Addiction (Substance Use Disorder) in San Mateo, CA. Individual provider (NPI-1).

NPI number1699568543
StatusActive
Last updated in NPPESMay 23, 2025

Details

NPI
1699568543
Entity type
Individual (NPI-1)
Name
Heather Rae Borges
Credential
SUDRC 21446
Sex
Female
Sole proprietor
No
Enumeration date
May 23, 2025
Certification date
May 23, 2025
Last updated
May 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

2251 Palm Ave
San Mateo, CA 94403-1814

Phone 415-407-6409

Mailing address

2251 Palm Ave
San Mateo, CA 94403-1814

Phone 415-407-6409

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