Individual provider · Type 1 NPI
Jessie Gordon, LPCC
Professional Counselor · Beachwood, OH
NPI number
1154565620
Active
Practice location
23210 Chagrin Blvd Ste 211
Beachwood, OH 44122-5425
Fax (216) 595-0118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | E1753 (OH) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1154565620
Jessie Gordon, LPCC's National Provider Identifier is 1154565620, issued on Apr 28, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beachwood, OH. The record was last updated on Apr 28, 2009.