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SHADY MARIANNA BORDWELL
NPI 1336793603
Counselor - Addiction (Substance Use Disorder) in Lemon Grove, CA

Active since July 25, 2019
2049 SKYLINE DR, LEMON GROVE, CA 91945(619) 465-7303 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shady Marianna Bordwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADY MARIANNA BORDWELL (NPI 1336793603) is an individual addiction (substance use disorder) provider in Lemon Grove, California and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1336793603
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHADY MARIANNA BORDWELL
Location Address2049 SKYLINE DRLemon Grove, CA 91945-4221
Mailing Address2049 Skyline DrLemon Grove, CA 91945-4221 · (619) 465-7303
Phone(619) 465-7303
Sole ProprietorNo
Enumeration DateJuly 25, 2019
✔ NPI 1336793603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2049 SKYLINE DR, Lemon Grove, CA 91945
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN FREMLAND
Counselor (Addiction (Substance Use Disorder))
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303
CAROLINE JANE LONG
Counselor (Addiction (Substance Use Disorder))
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303
SANDRA DENISE DOUGLAS
Counselor (Addiction (Substance Use Disorder))
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303
EDDY FUENTES JR.
Counselor (Addiction (Substance Use Disorder))
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 442-0277
MR. MICHEAL LAWRENCE TARVER
Counselor (Mental Health)
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 456-7303
JONATHAN DETRANT CMPSS
Peer Specialist
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 442-0277
DAISY DOYLE
Case Manager/Care Coordinator
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303
CASSIE DOVE LMFT
Marriage & Family Therapist
2049 SKYLINE DR
LEMON GROVE, CA 91945
San Diego County (619) 465-7303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shady Bordwell's NPI number?

The NPI number for Shady Bordwell is 1336793603. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is Shady Bordwell located?

Shady Bordwell practices at 2049 Skyline Dr, Lemon Grove, CA 91945. The listed phone number is (619) 465-7303.

What is Shady Bordwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shady Bordwell was last updated on July 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.