Individual provider · Type 1 NPI

Jamila Enirisha Gordon

Mental Health Counselor · Salem, OR

NPI number 1407014863 Active

Practice location

1073 Oak St SE
Salem, OR 97301-4018

Mailing address

4175 Kurth St S
Salem, OR 97302-2723

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407014863

Jamila Enirisha Gordon's National Provider Identifier is 1407014863, issued on Jun 1, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Jun 1, 2008.