Shaconya Lacole Bordeaux
Shaconya Lacole Bordeaux is a Community/Behavioral Health Agency in Council, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
54 Warren AveCouncil, NC 28434-8406
Phone: (919) 612-1617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1437742004 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 15, 2021 |
| Last updated in NPPES | March 10, 2021 |
| Certification date | March 10, 2021 |