Individual
DANIELLE S GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LLPC, SCL
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012328
MI
101YS0200X
School Counselor
SC0000000755886
MI
Other
Enumeration date
02/05/2019
Last updated
03/09/2019
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