CHANTELLE NICOLE BORDELON

CENTER CITY, MN
NPI1588295349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304517)
Enumeration Date2020-01-30
Last Update Date2020-01-30
Business Address
CHANTELLE NICOLE BORDELON LADC
15251 PLEASANT VALLEY RD
CENTER CITY, MN 55012-9640
Phone number: 651-213-4393
Mailing Address
CHANTELLE NICOLE BORDELON LADC
PO BOX 11
CENTER CITY, MN 55012-0011
Phone number: