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Corey James Gorder, LPCC
Mental Health Clinic/Center (Including Community Mental Health Center) in Bottineau, North Dakota
NPI 1588800882

Corey James Gorder is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Bottineau, ND and is specialized in Mental Health (Including Community Mental Health Center). Corey James Gorder practices in Bottineau, ND and has the professional credentials of LPCC. The NPI Number for Corey James Gorder is 1588800882 and holds a License No. 569-12-15-06-190 (North Dakota).

The current practice location address for Corey James Gorder is 104 11Th St W, Bottineau, ND and can be reached out via phone at 701-201-0076.

Location: 104 11Th St W, Bottineau, ND, 58318-7009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588800882
Provider Name
Corey James Gorder
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
104 11Th St W, Bottineau, ND, 58318-7009
Phone Number
701-201-0076
Fax Number
Provider Enumeration Date
12/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054517 05 ND
1225448798 05 ND
1588800882 01 ND BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
104 11Th St W
City
Bottineau
State
North Dakota
Zip
58318-2005
Phone Number
701-201-0076
Fax Number
person
Provider Business Mailing Address Details
Address
104 11Th St W
City
Bottineau
State
North Dakota
Zip
58318-2005
Phone Number
701-201-0076
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
569-12-15-06-190 (North Dakota)
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
569-12-15-06-190 (North Dakota)
Definition
Definition to come...
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