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NPI Code Detail

MEDICARE: JESSICA D GORHAM LMHC

MEDICARE: JESSICA D GORHAM LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorIN

General Provider Information

NPI Number : 1861330904
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA D GORHAM LMHC
Provider Business Mailing Address
First Line : 5400 E FORSTER AVE
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-4901
Country : US
Telephone Number : 812-314-9088
Fax Number :
Provider Business Practice Location Address
First Line : 6125 INWOOD DR
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5698
Country : US
Telephone Number : 317-559-2309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ JESSICA D GORHAM LMHC” Practice Location

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