Individual
JORDAN GORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2906 AMES ST, WHEAT RIDGE, CO 80214-8522
(720) 515-2379
Mailing address
2906 AMES ST, WHEAT RIDGE, CO 80214-8522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC 0014806
CO
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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