Provider Demographics
NPI:1003809013
Name:BORDELEAU, FRANCE (LCSW)
Entity type:Individual
Prefix:
First Name:FRANCE
Middle Name:
Last Name:BORDELEAU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10405 CASADOR DEL OSO NE STE 104
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3772
Mailing Address - Country:US
Mailing Address - Phone:505-710-8423
Mailing Address - Fax:
Practice Address - Street 1:610 GOLD AVE SW STE 102
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-3187
Practice Address - Country:US
Practice Address - Phone:505-710-8423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-061631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical