Individual
AMY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2865 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 384-8027
Mailing address
1577 MEADOW RD, COLUMBUS, OH 43212-2511
(614) 216-7619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1000148
OH
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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