Provider Demographics
NPI:1982327763
Name:BORSHEIM, DUSTI LYN (LCPC)
Entity Type:Individual
Prefix:
First Name:DUSTI
Middle Name:LYN
Last Name:BORSHEIM
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 1:821 W MENDENHALL SUITE 5
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-9338
Mailing Address - Country:US
Mailing Address - Phone:406-600-8022
Mailing Address - Fax:
Practice Address - Street 1:821 WEST MENDENHALL ST
Practice Address - Street 2:SUITE 5
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715
Practice Address - Country:US
Practice Address - Phone:406-600-8022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2023-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-57417101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional