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Andrew Derrick Gordon, LPC
Professional Counselor in Fayetteville, Georgia
NPI 1699347112

Andrew Derrick Gordon is a Professional Counselor based in Austell, GA and is specialized in Professional. Andrew Derrick Gordon practices in Fayetteville, GA and has the professional credentials of LPC. The NPI Number for Andrew Derrick Gordon is 1699347112 and holds a License No. LPC012296 (Georgia).

The current practice location address for Andrew Derrick Gordon is 500 Lanier Ave W, Fayetteville, GA and can be reached out via phone at 404-800-4002 and via fax at 404-393-5698.

Location: 500 Lanier Ave W, Fayetteville, GA, 30168-6361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699347112
Provider Name
Andrew Derrick Gordon
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
500 Lanier Ave W, Fayetteville, GA, 30168-6361
Phone Number
404-800-4002
Fax Number
404-393-5698
Provider Enumeration Date
07/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 Lanier Ave W
City
Fayetteville
State
Georgia
Zip
30214-7636
Phone Number
404-800-4002
Fax Number
404-393-5698
person
Provider Business Mailing Address Details
Address
500 Lanier Ave W
City
Fayetteville
State
Georgia
Zip
30214-7636
Phone Number
404-800-4002
Fax Number
404-393-5698
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC012296 (Georgia)
Definition
Definition to come...
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