National Provider Identifier
Sherri L Borglum, MA, LCAT, CASAC
Sherri L Borglum, MA, LCAT, CASAC is listed in the NPPES registry with a primary specialty of Professional Counselor in Penn Yan, NY and a listed phone number of (716) 785-4725.
Profile Overview
- NPI
- 1124181094
- Provider Type
- Individual
- Primary Specialty
- Professional Counselor
- Enumeration Date
- December 19, 2006
- Last Updated
- June 19, 2018
Practice Location
- 21 Main St
- Penn Yan, NY 14527
Phone: (716) 785-4725
Mailing Address
- 4730 Ferguson Corners RD
- Rushville, NY 14544-9623
Specialties
- Professional Counselor (101YP2500X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1124181094
- Entity Type
- Individual
- Last Name
- Borglum
- First Name
- Sherri
- Middle Name
- L
- Credential
- MA, LCAT, CASAC
- Provider Other Last Name
- Reynolds
- Provider Other First Name
- Sherri
- Provider Other Credential Text
- MA, LCAT, CASAC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4730 Ferguson Corners RD
- Mailing City
- Rushville
- Mailing State
- NY
- Mailing ZIP Code
- 14544-9623
- Mailing Country
- US
- Mailing Phone
- (716) 785-4725
- Practice Street Address
- 21 Main St
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527
- Practice Country
- US
- Practice Phone
- (716) 785-4725
- Enumeration Date
- December 19, 2006
- Last Updated
- June 19, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Professional Counselor (101YP2500X), Addiction (Substance Use Disorder) Counselor (101YA0400X)