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Individual

LAUREN ASHLEY BORDELON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
221 RUE DE JEAN STE 133, LAFAYETTE, LA 70508-3283
(337) 967-1948
Mailing address
203 AUNDRIA DR, LAFAYETTE, LA 70503-4714
(337) 967-1948

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7589
LA
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1813249
LA
Enumeration date
09/13/2017
Last updated
12/12/2022
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