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Jessica Elizabeth Gordon
Professional Counselor in Lansing, Michigan
NPI 1265994206

Jessica Elizabeth Gordon is a Professional Counselor based in Lansing, MI and is specialized in Professional. Jessica Elizabeth Gordon practices in Lansing, MI. The NPI Number for Jessica Elizabeth Gordon is 1265994206 and holds a License No. (Michigan).

The current practice location address for Jessica Elizabeth Gordon is 1717 N High St, Lansing, MI and can be reached out via phone at 517-372-4700.

Location: 1717 N High St, Lansing, MI, 48906-4597
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Provider Profile Details
NPI Number
1265994206
Provider Name
Jessica Elizabeth Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1717 N High St, Lansing, MI, 48906-4597
Phone Number
517-372-4700
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265994206 05 MI
institution
Provider Business Practice Location Address Details
Address
1717 N High St
City
State
Zip
48906-4597
Phone Number
517-372-4700
Fax Number
person
Provider Business Mailing Address Details
Address
1717 N High St
City
State
Zip
48906-4597
Phone Number
517-372-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6401012607 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Michigan)
Definition
Definition to come...
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