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Individual
MR. CRAIG A GORDON II
Active
Individual
MR. CRAIG A GORDON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007484
VA
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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