Herminigildo Borja Reyes
Counselor, Mental Health in Ketchikan, AK. Individual provider (NPI-1).
NPI number1982209607
StatusActive
Last updated in NPPESDec 1, 2020
Details
- NPI
- 1982209607
- Entity type
- Individual (NPI-1)
- Name
- Mr. Herminigildo Borja Reyes
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2020
- Certification date
- Dec 1, 2020
- Last updated
- Dec 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | AK | Yes |
Practice location
2514 First AveKetchikan, AK 99901-5804
Phone 907-225-4664 · Fax 907-885-6613
Mailing address
Po Box 7475Ketchikan, AK 99901-2475
Phone 907-225-4664 · Fax 907-885-6613
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