Provider Demographics
NPI:1235348129
Name:XIONG, BOR BECKY (MS)
Entity Type:Individual
Prefix:
First Name:BOR
Middle Name:BECKY
Last Name:XIONG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:XIONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:451 LEXINGTON PKWY N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4636
Mailing Address - Country:US
Mailing Address - Phone:651-280-2153
Mailing Address - Fax:651-280-3798
Practice Address - Street 1:451 LEXINGTON PKWY N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4636
Practice Address - Country:US
Practice Address - Phone:651-280-2153
Practice Address - Fax:651-280-3798
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor