JEFFREY SCOTT GORDON LPT
NPI 1356579064
Counselor - Mental Health in Placerville, CA
Active since July 01, 2009
About Jeffrey Scott Gordon Lpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY SCOTT GORDON LPT (NPI 1356579064) is an individual mental health provider in Placerville, California and active in the NPI registry since July 2009.
NPPES Registry Identity
NPI1356579064
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEFFREY SCOTT GORDONCredential: LPT
Location Address935B SPRING STPlacerville, CA 95667-4523
Mailing Address935b Spring StPlacerville, CA 95667-4523 · (530) 621-6218 · Fax (530) 295-2594
Phone(530) 621-6218
Fax(530) 295-2594
Sole ProprietorYes
Enumeration DateJuly 1, 2009
✔ NPI 1356579064 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
935B SPRING ST, Placerville, CA 95667
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Technician, Health Information (Assistant Record Technician)
935B SPRING ST
PLACERVILLE, CA 95667
PLACERVILLE, CA 95667
Community Based Residential Treatment Facility, Mental Illness
935B SPRING ST
PLACERVILLE, CA 95667
PLACERVILLE, CA 95667
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356579064, enumerated as an "individual" on July 01, 2009.
The provider is located at 935B SPRING ST PLACERVILLE, CA 95667 and the phone number is (530) 621-6218.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.