Individual
LAUREN ASHLEY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 W BROAD ST, COLUMBUS, OH 43215-2775
(614) 662-1020
Mailing address
4156 VIRGINIA CIR E, COLUMBUS, OH 43213-2826
(980) 337-7590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602489160522
OHIO DEPARTMENT OF HEALTH
OH
Enumeration date
07/12/2019
Last updated
01/17/2023
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