Individual
JANET GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LCMHC
Contact information
Practice address
152 KINGSTON DR, LOCUST, NC 28097-0018
(704) 380-0627
Mailing address
PO BOX 501, ALBEMARLE, NC 28002-0501
(704) 213-7698
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14721
NC
Other
Enumeration date
04/16/2019
Last updated
09/05/2023
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