Individual provider · Type 1 NPI

Andrew Derrick Gordon, LPC

Professional Counselor · Fayetteville, GA

NPI number 1699347112 Active

Practice location

500 Lanier Ave W
Fayetteville, GA 30214-7636

Fax (404) 393-5698

Mailing address

7097 Southface Way
Austell, GA 30168-6361

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC012296 (GA)

Professional Counselor: Definition to come...

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About NPI 1699347112

Andrew Derrick Gordon, LPC's National Provider Identifier is 1699347112, issued on Jul 14, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, GA. The record was last updated on Jul 14, 2021.