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Individual

AMBER GORDON

Active
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Individual

AMBER GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW 115164

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
115164
CA
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ASW97513
CA
Enumeration date
11/22/2020
Last updated
08/04/2026
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