Individual provider · Type 1 NPI
Jamie Lee Gordon, LPC-S
Professional Counselor · Conway, AR
NPI number
1649383886
Active
Practice location
920 Mitchell St
Conway, AR 72034-5148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | P0509059 (AR) |
Professional Counselor: Definition to come...
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About NPI 1649383886
Jamie Lee Gordon, LPC-S's National Provider Identifier is 1649383886, issued on Aug 15, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conway, AR. The record was last updated on Apr 28, 2024.