Individual
CLAIRE GORDIJN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RMHCI
Contact information
Practice address
111 W MAGNOLIA AVE, LONGWOOD, FL 32750-4130
(407) 215-0095
Mailing address
111 W MAGNOLIA AVE, LONGWOOD, FL 32750-4130
(407) 215-0095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014318
GA
103TC1900X
Counseling Psychologist
IMH17550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMH17550
IMPOWER
FL
Enumeration date
06/22/2020
Last updated
10/17/2024
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