Individual provider · Type 1 NPI
Latisha Y. Bordley
Mental Health Counselor · Deland, FL
NPI number
1063980217
Active
Practice location
119 E Villa Capri Cir Apt F
Deland, FL 32724-7873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1063980217
Latisha Y. Bordley's National Provider Identifier is 1063980217, issued on Nov 6, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Deland, FL. The record was last updated on Nov 6, 2018.