Individual
AMANDA JOY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CACII
Contact information
Practice address
10200 W 44TH AVE STE 101, WHEAT RIDGE, CO 80033-2838
(617) 817-5050
Mailing address
10200 W 44TH AVE STE 101, WHEAT RIDGE, CO 80033-2838
(617) 817-5050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0012236
CO
Other
Enumeration date
02/12/2015
Last updated
09/17/2019
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