Individual provider · Type 1 NPI

Shady Marianna Bordwell

Addiction (Substance Use Disorder) Counselor · Lemon Grove, CA

NPI number 1336793603 Active

Practice location

2049 Skyline Dr
Lemon Grove, CA 91945-4221

Call (619) 465-7303 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336793603

Shady Marianna Bordwell's National Provider Identifier is 1336793603, issued on Jul 25, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lemon Grove, CA. The record was last updated on Jul 25, 2019.