Doctor Name: | VONDA J BORDEN |
NPI Number: | 1518995166 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 586 |
Business Practice Address: | 238 Summar Dr Jackson, TN - 383013906 |
Business Phone Number: | 7319358200 |
Business Fax Number: | 7319358327 |
Mailing Address: | 1804 Highway 45 Byp, Ste 604 JACKSON |
State: | TN |
Postal Code: | 383054436 |
Phone Number: | 7316608755 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 08/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 586 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |