Provider Demographics
NPI:1437294139
Name:BORDEN, DIANE KAY (MA, LMHC)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:KAY
Last Name:BORDEN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 LABOUNTY DR STE 9-70
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-8959
Mailing Address - Country:US
Mailing Address - Phone:360-880-9499
Mailing Address - Fax:
Practice Address - Street 1:1161 W AXTON RD
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:WA
Practice Address - Zip Code:98248-9185
Practice Address - Country:US
Practice Address - Phone:360-880-9499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005669101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health