Mr. Randy Gerard Bordelon
Mr. Randy Gerard Bordelon is a Mental Health Counselor in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1310 N Hearne AveShreveport, LA 71107-6516
Phone: (318) 676-5103
Fax: (318) 676-5505
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1891848008 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2007 |
| Last updated in NPPES | July 8, 2007 |
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