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Individual

HEIDI R. BORDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPCC

Contact information

Practice address
1316 SHELDON ST, CLOVIS, NM 88101-6062
(575) 799-1684
Mailing address
1316 SHELDON ST, CLOVIS, NM 88101-6062
(575) 700-1684

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0123101
NM
101YP2500X
Professional Counselor
0123101
NM

Other

Enumeration date
02/06/2007
Last updated
09/09/2015
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