Individual
JENNIFER LYNN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 E LUDINGTON ST, IRON MOUNTAIN, MI 49801-2918
(906) 239-9918
(908) 373-8455
Mailing address
216 EAST LUNDINGTON STREET, PO BOX 68, IRON MOUNTAIN, MI 49801
(906) 239-9918
(908) 373-8455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013069
MI
Other
Enumeration date
06/24/2012
Last updated
07/24/2015
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