Individual
SHERRI L BORGLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAT, CASAC
Contact information
Practice address
21 MAIN ST, PENN YAN, NY 14527
(716) 785-4725
Mailing address
4730 FERGUSON CORNERS RD, RUSHVILLE, NY 14544-9623
(716) 785-4725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CASAC 11992
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
CASAC11992
NY
101YP2500X
Professional Counselor
Primary
LCAT001267-1
NY
Other
Enumeration date
12/19/2006
Last updated
06/19/2018
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