Portia Gordon Lpc Llc | |
137 N Clark St New Orleans LA 70119-5244 | |
(504) 533-4189 | |
Not Available |
Full Name | Portia Gordon Lpc Llc |
---|---|
Speciality | Counselor - Professional |
Location | 137 N Clark St, New Orleans, Louisiana |
Authorized Official Name and Position | Portia Gordon (COUNSELOR) |
Authorized Official Contact | 5045334189 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Portia Gordon Lpc Llc 783 Bellemeade Blvd Gretna LA 70056-7631 Ph: (225) 202-0434 | Portia Gordon Lpc Llc 137 N Clark St New Orleans LA 70119-5244 Ph: (504) 533-4189 |
NPI Number | 1508321183 |
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Provider Enumeration Date | 02/07/2019 |
Last Update Date | 02/07/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508321183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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