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Organization
IRON MOUNTAIN COUNSELING CENTER, INC.
Active
Organization
IRON MOUNTAIN COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN GORDON MA,NCC,LPC (PROFESSIONAL COUNSELOR)
(906) 239-9918
Entity
Organization
Contact information
Practice address
216 E LUDINGTON ST, IRON MOUNTAIN, MI 49801-2918
(906) 239-9918
Mailing address
216 E LUDINGTON ST, IRON MOUNTAIN, MI 49801-2918
(906) 239-9918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013069
MI
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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