Individual provider · Type 1 NPI
Nicolette Gordon
Professional Counselor · Lilburn, GA
NPI number
1407540677
Active
Practice location
2020 Paxton Dr SW
Lilburn, GA 30047-3344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 013764 (GA) |
| Mental Health Counselor | 101YM0800X | 013764 (GA) |
Professional Counselor: Definition to come...
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About NPI 1407540677
Nicolette Gordon's National Provider Identifier is 1407540677, issued on Jun 8, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lilburn, GA. The record was last updated on Jun 8, 2023.