Individual
JENNIFER GORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LLPC
Contact information
Practice address
1029 N 3RD ST, MARQUETTE, MI 49855-3509
(096) 226-7410
Mailing address
1029 N 3RD AVE, MARQUETTE, MI 49855
(096) 226-7410
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014716
MI
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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