person
Mr. Scott Jason Gordon, MED,LPC
Counselor in Angier, North Carolina
NPI 1588765002

Scott Jason Gordon is a Counselor based in Angier, NC. Scott Jason Gordon practices in Angier, NC and has the professional credentials of MED,LPC. The NPI Number for Scott Jason Gordon is 1588765002 and holds a License No. 3370 (North Carolina).

The current practice location address for Scott Jason Gordon is 174 Blue Grass Ct, Angier, NC and can be reached out via phone at 919-639-6603 and via fax at 919-662-2372.

Location: 174 Blue Grass Ct, Angier, NC, 27501-6861
person
Provider Profile Details
NPI Number
1588765002
Provider Name
Scott Jason Gordon
Credential
MED,LPC
Provider Entity Type
Individual
Gender
Male
Address
174 Blue Grass Ct, Angier, NC, 27501-6861
Phone Number
919-639-6603
Fax Number
919-662-2372
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6102316 05 NC
institution
Provider Business Practice Location Address Details
Address
174 Blue Grass Ct
City
State
Zip
27501-6861
Phone Number
919-639-6603
Fax Number
919-662-2372
person
Provider Business Mailing Address Details
Address
174 Blue Grass Ct
City
State
Zip
27501-6861
Phone Number
919-639-6603
Fax Number
919-662-2372
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
3370 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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