Justin Gordon, LCSW

NPI 1265961205 · on the registry since 2017 · sole proprietor

Practice

Address: 6624 Jimmy Carter Blvd Ste A
Peachtree Corners, GA 30071
Phone: (404) 900-5450
Fax: (404) 900-5453
Organisation at this address: Markham Sheppard, Llc
Ormsby Healthcare, Llc
First Integrated Community Care Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia