Individual
JAMES WILLIAM GORDON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
67 WALNUT AVE STE 207, CLARK, NJ 07066-1640
(732) 982-2888
(847) 859-5885
Mailing address
22 W SUMNER AVE, ROSELLE PARK, NJ 07204-1225
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
37PC00710200
NJ
Other
Enumeration date
05/10/2013
Last updated
02/12/2020
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