Individual
JENIFER BORDELON
Active
Individual
JENIFER BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC, PMH-C
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1451
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC9325
ME
1041C0700X
Clinical Social Worker
14250
LA
1041C0700X
Clinical Social Worker
Primary
LC25558
ME
Other
Enumeration date
04/04/2017
Last updated
02/24/2026
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