Individual provider · Type 1 NPI
Matthew Bradley Bordenave
Mental Health Counselor · Sacramento, CA
NPI number
1780018622
Active
Practice location
3440 Viking Dr, Suite 114
Sacramento, CA 95827-2844
Fax (916) 504-4308
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 1780018622
Matthew Bradley Bordenave's National Provider Identifier is 1780018622, issued on Aug 28, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sacramento, CA. The record was last updated on Aug 28, 2013.