MS. Nicolette Gordon
MS. Nicolette Gordon is a Professional Counselor in Lilburn, Georgia. Licensed in Georgia. Registered with an NPI since 2023.
- Licensed in
- GA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
2020 Paxton Dr SWLilburn, GA 30047-3344
Phone: (770) 490-4376
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 013764 (GA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 013764 (GA) |
Record details
| NPI number | 1407540677 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 8, 2023 |
| Last updated in NPPES | June 8, 2023 |
| Certification date | June 8, 2023 |
| Mailing address | 2020 Paxton Dr Sw, Lilburn, GA 30047-3344 |
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