Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shady Marianna Bordwell

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336793603

Shady Marianna Bordwell is an Addiction (Substance Use Disorder) Counselor in Lemon Grove, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

2049 Skyline Dr
Lemon Grove, CA 91945-4221
Phone: (619) 465-7303
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1336793603
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESJuly 25, 2019

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