Individual provider · Type 1 NPI

Jason Michael Gorden

Peer Specialist · Lake Forest, CA

NPI number 1962311134 Active

Practice location

23072 Lake Center Dr Ste 115
Lake Forest, CA 92630-2880

Call (949) 406-9690 Map

Mailing address

5931 Los Feliz Dr
Buena Park, CA 90620-3426

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-EILYAU (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

5 other providers at this address

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About NPI 1962311134

Jason Michael Gorden's National Provider Identifier is 1962311134, issued on Sep 3, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lake Forest, CA. The record was last updated on Sep 3, 2026.