Provider Demographics
NPI:1528733896
Name:BORDELEAU, SARAH E (LPCC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:BORDELEAU
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 IRVING AVE S APT 2
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-3338
Mailing Address - Country:US
Mailing Address - Phone:715-891-2768
Mailing Address - Fax:
Practice Address - Street 1:8170 OLD CARRIAGE CT STE 200
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-3169
Practice Address - Country:US
Practice Address - Phone:715-891-2768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC04808101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health