Individual
MR. JAMES BLAKELY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MRC
Contact information
Practice address
1821 PICKENS ST, COLUMBIA, SC 29201-2630
(803) 929-1234
(803) 929-1247
Mailing address
1800 COLONIAL DRIVE, COLUMBIA, SC 29203-2219
(803) 898-1555
(803) 898-2194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
#4691
SC
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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