Individual
NICOLE BORDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SHARRON AVE, PLATTSBURGH, NY 12901-4700
(518) 561-1447
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4528
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
36699-T
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39558
NY
Other
Enumeration date
08/11/2020
Last updated
08/21/2024
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