Individual provider · Type 1 NPI

Judith L. Gordon, LPC

Professional Counselor · Meridian, ID

NPI number 1700220233 Active

Practice location

3288 E Pine Ave
Meridian, ID 83642-5922

Fax (208) 658-0153

Mailing address

11898 W Goldenrod Ave
Boise, ID 83713-2439

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178 (ID)
School Counselor 101YS0200X178 (ID)

Professional Counselor: Definition to come...

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About NPI 1700220233

Judith L. Gordon, LPC's National Provider Identifier is 1700220233, issued on Apr 26, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Meridian, ID. The record was last updated on Apr 26, 2013.