Individual
JESSICA A GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1431 N DELAWARE ST, INDIANAPOLIS, IN 46202-2416
(317) 536-7100
(317) 536-7101
Mailing address
1431 N DELAWARE ST, INDIANAPOLIS, IN 46202-2416
(317) 536-7100
(317) 536-7101
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85000256A
IN
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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