Provider Demographics
NPI:1316010945
Name:BORCHERT, JARILYN MAE THRONE (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:JARILYN
Middle Name:MAE THRONE
Last Name:BORCHERT
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17030 MADISON RD
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-8280
Mailing Address - Country:US
Mailing Address - Phone:208-284-4334
Mailing Address - Fax:
Practice Address - Street 1:720 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-5535
Practice Address - Country:US
Practice Address - Phone:208-343-3688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC4460101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional