Individual
SHENIKA NICOLE BORDEAUX-COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LADC
Contact information
Practice address
2405 8TH ST S STE 200, MOORHEAD, MN 56560-4200
(218) 331-4866
(218) 331-4867
Mailing address
1602 35TH ST S APT 15, FARGO, ND 58103-8420
(701) 261-2455
(701) 532-1447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1800
ND
101YM0800X
Mental Health Counselor
304585
MN
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/23/2020
Last updated
10/09/2024
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