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Individual

JOHNNIKA N GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
701 LOYOLA AVE., NEW ORLEANS, LA 70117
(504) 558-9595
(504) 558-9599
Mailing address
3301 LASALLE ST, NEW ORLEANS, LA 70115-5709

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7925
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558649087
LA
Enumeration date
05/24/2017
Last updated
03/18/2022
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