Ashlyn Brooke Bordelon, M. Ed, LPC
Counselor, Mental Health in Columbia, SC. Individual provider (NPI-1).
NPI number1164034294
StatusActive
Last updated in NPPESSep 19, 2023
Details
- NPI
- 1164034294
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ashlyn Brooke Bordelon
- Credential
- M. Ed, LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2020
- Certification date
- Sep 19, 2023
- Last updated
- Sep 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 8397 | SC | Yes |
| 101YM0800X | Counselor, Mental Health | 7476 | SC |
Practice location
455 Saint Andrews Rd Ste D1Columbia, SC 29210-4488
Phone 803-638-4688
Mailing address
455 Saint Andrews Rd Ste D1Columbia, SC 29210-4488
Phone 803-638-4688
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