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Jamie Lee Gordon, LPC-S
Professional Counselor in Conway, Arkansas
NPI 1649383886

Jamie Lee Gordon is a Professional Counselor based in Conway, AR and is specialized in Professional. Jamie Lee Gordon practices in Conway, AR and has the professional credentials of LPC-S. The NPI Number for Jamie Lee Gordon is 1649383886 and holds a License No. P0509059 (Arkansas).

The current practice location address for Jamie Lee Gordon is 920 Mitchell St, Conway, AR and can be reached out via phone at 501-620-0162.

Location: 920 Mitchell St, Conway, AR, 72034-5148
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Provider Profile Details
NPI Number
1649383886
Provider Name
Jamie Lee Gordon
Credential
LPC-S
Provider Entity Type
Individual
Gender
Female
Address
920 Mitchell St, Conway, AR, 72034-5148
Phone Number
501-620-0162
Fax Number
Provider Enumeration Date
08/15/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1639558398 01 NPPES
1639558398 01 AR NPPES
institution
Provider Business Practice Location Address Details
Address
920 Mitchell St
City
State
Zip
72034-5148
Phone Number
501-620-0162
Fax Number
person
Provider Business Mailing Address Details
Address
920 Mitchell St
City
State
Zip
72034-5148
Phone Number
501-620-0162
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P0509059 (Arkansas)
Definition
Definition to come...
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