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Individual

JASON GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
179 DAVIS AVE, PISCATAWAY, NJ 08854-2467
(908) 451-2550
Mailing address
179 DAVIS AVE, PISCATAWAY, NJ 08854-2467

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00488100
NJ

Other

Enumeration date
05/20/2014
Last updated
05/20/2014
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