Individual
DR. ASHLEY ELIZABETH BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
501 MAIN ST STE 202, KLAMATH FALLS, OR 97601-6035
(541) 891-7823
(844) 955-2526
Mailing address
501 MAIN ST STE 202, KLAMATH FALLS, OR 97601-6035
(541) 891-7823
(844) 955-2526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3201
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018213
—
MS
Enumeration date
01/11/2007
Last updated
06/28/2020
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