person
Ms. Nicolette Gordon
Mental Health Counselor in Lilburn, Georgia
NPI 1407540677

Nicolette Gordon is a Mental Health Counselor based in Lilburn, GA and is specialized in Mental Health. Nicolette Gordon practices in Lilburn, GA. The NPI Number for Nicolette Gordon is 1407540677 and holds a License No. 013764 (Georgia).

The current practice location address for Nicolette Gordon is 2020 Paxton Dr Sw, Lilburn, GA and can be reached out via phone at 770-490-4376.

Location: 2020 Paxton Dr Sw, Lilburn, GA, 30047-3344
person
Provider Profile Details
NPI Number
1407540677
Provider Name
Nicolette Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
2020 Paxton Dr Sw, Lilburn, GA, 30047-3344
Phone Number
770-490-4376
Fax Number
Provider Enumeration Date
06/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2020 Paxton Dr Sw
City
State
Zip
30047-3344
Phone Number
770-490-4376
Fax Number
person
Provider Business Mailing Address Details
Address
2020 Paxton Dr Sw
City
State
Zip
30047-3344
Phone Number
770-490-4376
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
013764 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
013764 (Georgia)
Definition
Definition to come...
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