Individual
JONAE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 HOW LN, NEW BRUNSWICK, NJ 08901-3653
(732) 565-5494
Mailing address
1929 W 7TH ST, PISCATAWAY, NJ 08854-1919
(908) 656-1690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00809300
NJ
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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