Individual provider · Type 1 NPI

Jamie Gordon

Mental Health Counselor · New York, NY

NPI number 1124896360 Active

Practice location

394 Broadway Fl 4
New York, NY 10013-6023

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1124896360

Jamie Gordon's National Provider Identifier is 1124896360, issued on Dec 18, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Dec 18, 2023.