person
Mr. James Blakely Gordon, MRC
Mental Health Counselor in Columbia, South Carolina
NPI 1669439352

James Blakely Gordon is a Mental Health Counselor based in Columbia, SC and is specialized in Mental Health. James Blakely Gordon practices in Columbia, SC and has the professional credentials of MRC. The NPI Number for James Blakely Gordon is 1669439352 and holds a License No. #4691 (South Carolina).

The current practice location address for James Blakely Gordon is 1821 Pickens St, Columbia, SC and can be reached out via phone at 803-929-1234 and via fax at 803-929-1247.

Location: 1821 Pickens St, Columbia, SC, 29203-2219
person
Provider Profile Details
NPI Number
1669439352
Provider Name
James Blakely Gordon
Credential
MRC
Provider Entity Type
Individual
Gender
Male
Address
1821 Pickens St, Columbia, SC, 29203-2219
Phone Number
803-929-1234
Fax Number
803-929-1247
Provider Enumeration Date
04/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1821 Pickens St
City
State
Zip
29201-2630
Phone Number
803-929-1234
Fax Number
803-929-1247
person
Provider Business Mailing Address Details
Address
1821 Pickens St
City
State
Zip
29201-2630
Phone Number
803-929-1234
Fax Number
803-929-1247
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
#4691 (South Carolina)
Definition
Definition to come...
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