Individual
CAROL BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LPCC
Contact information
Practice address
16123 GRANT UTLEY AVE NW, CASS LAKE, MN 56601
(218) 335-3050
(218) 335-4410
Mailing address
16123 GRANT UTLEY AVE NW, CASS LAKE, MN 56601
(218) 335-3050
(218) 335-4410
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1245838606
MN
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/16/2020
Last updated
08/22/2023
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