Organization
IRON MOUNTAIN COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN GORDON MA,NCC,LPC (PROFESSIONAL COUNSELOR)
(906) 239-9918
Entity
Organization
Contact information
Practice address
216 E LUDINGTON ST, IRON MOUNTAIN, MI 49801-2918
(906) 239-9918
Mailing address
216 E LUDINGTON ST, IRON MOUNTAIN, MI 49801-2918
(906) 239-9918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013069
MI
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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