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Organization

GORDER CONSULTING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. COREY J GORDER LPCC (OWNER)
(701) 201-0076
Entity
Organization

Contact information

Practice address
104 11TH ST W STE 4, BOTTINEAU, ND 58318-2005
(701) 201-0076
Mailing address
104 11TH ST W STE 4, BOTTINEAU, ND 58318-2005

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
569121506190
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588800882
ND
Enumeration date
05/05/2014
Last updated
05/05/2014
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