Individual
JANEEN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
309 CRUTCHFIELD ST, DURHAM, NC 27704-2754
(919) 560-7305
Mailing address
309 CRUTCHFIELD ST, DURHAM, NC 27704-2754
(919) 560-7305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22137
NC
Other
Enumeration date
08/18/2015
Last updated
08/20/2015
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