Individual provider · Type 1 NPI

Jamie Gordon

Counselor · Venice, CA

NPI number 1194915652 Active

Practice location

204 Hampton Dr
Venice, CA 90291-2623

Call (310) 399-6878 Map

Fax (310) 399-1339

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1194915652

Jamie Gordon's National Provider Identifier is 1194915652, issued on Jul 30, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Venice, CA. The record was last updated on Jul 30, 2007.