Individual
MS. AJA RENEE BORDONARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3594 4TH AVE, SAN DIEGO, CA 92103-4940
(619) 296-1151
(619) 296-6218
Mailing address
3594 4TH AVE # 24, SAN DIEGO, CA 92103-4989
(619) 296-1151
(619) 296-6218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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