Skyi Vincent Bordelon, LPC
Counselor in Lafayette, LA. Individual provider (NPI-1).
NPI number1467916072
StatusActive
Last updated in NPPESJan 28, 2019
Details
- NPI
- 1467916072
- Entity type
- Individual (NPI-1)
- Name
- Skyi Vincent Bordelon
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2019
- Last updated
- Jan 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 4664 | LA | Yes |
Practice location
216 Acorn DrLafayette, LA 70507-4204
Phone 337-501-6175
Mailing address
216 Acorn DrLafayette, LA 70507-4204
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