Individual
MR. CHRISTOPHER JOHN BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CSAC, NCC
Contact information
Practice address
5650 N GREEN BAY AVE STE 205, GLENDALE, WI 53209-4446
(262) 789-1191
Mailing address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(262) 789-1191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15496-132
WI
101YP2500X
Professional Counselor
Primary
4738-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053551671
—
WI
Enumeration date
02/22/2009
Last updated
11/18/2024
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