Individual
MRS. FRANCES FRIEDENSEN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, LCAS
Contact information
Practice address
370 WESTOAK TRL, WINSTON SALEM, NC 27104-2628
(336) 760-0316
Mailing address
370 WESTOAK TRL, WINSTON SALEM, NC 27104-2628
(336) 760-0316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
194
NC
101YM0800X
Mental Health Counselor
Primary
708
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04388
BLUE CROSS/BLUE SHIELD OF
NC
01
—
15877
UBS
NC
05
—
8100046
—
NC
Enumeration date
07/26/2006
Last updated
07/12/2007
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