Andrew Gordon, LPC

NPI 1699347112 · on the registry since 2021 · sole proprietor

Practice

Address: 500 Lanier Ave W
Fayetteville, GA 30214
Phone: (404) 800-4002
Fax: (404) 393-5698
Organisation at this address: Acts
Rn Drip, Llc
Sacred Waters, Llc
Serene Concepts Pc
Beth Care Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 63

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-07-14

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