Bordelon, Chantelle Nicole

Bordelon, Chantelle Nicole is an sole proprietor health care provider with primary practice located at 15251 Pleasant Valley Rd , Center City MN 55012-9640. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bordelon, Chantelle Nicole can be contacted via phone (651) 213-4393.

Contact Information

Primary practice address
15251 Pleasant Valley Rd Center City MN 55012-9640
Phone: (651) 213-4393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 304517 Minnesota

Profile Details

NPI number 1588295349
LBN Legal business name Bordelon, Chantelle Nicole
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2020
Last updated Jan 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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