| Doctor Name: | SHERRI L BORGLUM |
| NPI Number: | 1124181094 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LCAT, CASAC |
| License Number: | CASAC 11992 |
| Business Practice Address: | 4730 Ferguson Corners Rd Rushville, NY - 145449623 |
| Business Phone Number: | 7167854725 |
| Business Fax Number: | 6072746280 |
| Mailing Address: | 4730 Ferguson Corners Rd, RUSHVILLE |
| State: | NY |
| Postal Code: | 145449623 |
| Phone Number: | 7167854725 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 08/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CASAC 11992 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |