Individual
ANDREW GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5816 EASTMAN AVE, MIDLAND, MI 48640-6792
(989) 244-1888
(989) 321-6544
Mailing address
2589 N 11 MILE RD, SANFORD, MI 48657-9747
(989) 941-2224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401009563
MI
Other
Enumeration date
10/18/2006
Last updated
06/13/2023
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