Individual
NICOLE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
175 HIGH ST, NEWTON, NJ 07860-1004
(973) 691-3030
Mailing address
175 HIGH ST, NEWTON, NJ 07860-1004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00516200
NJ
Other
Enumeration date
11/21/2016
Last updated
03/01/2022
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