Individual
HARRY SCOTT GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3342 ROSE RDG, ATLANTA, GA 30340-4074
(678) 558-3930
Mailing address
3342 ROSE RDG, ATLANTA, GA 30340-4074
(678) 558-3930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011599
GA
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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