Provider Demographics
NPI:1528274206
Name:BORDEN, CINDI (BA, CDP, LADC1)
Entity type:Individual
Prefix:
First Name:CINDI
Middle Name:
Last Name:BORDEN
Suffix:
Gender:F
Credentials:BA, CDP, LADC1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-1719
Mailing Address - Country:US
Mailing Address - Phone:508-679-0962
Mailing Address - Fax:508-676-5592
Practice Address - Street 1:1402 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1719
Practice Address - Country:US
Practice Address - Phone:508-679-0962
Practice Address - Fax:508-676-5592
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1710101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)