Individual provider · Type 1 NPI
Jacob Bordoley
Counselor · New York, NY
NPI number
1811670375
Active
Practice location
244 5th Ave Ste 2586
New York, NY 10001-7604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 18-P123324-01 (NY) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1811670375
Jacob Bordoley's National Provider Identifier is 1811670375, issued on Aug 10, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in New York, NY. The record was last updated on Aug 10, 2023.