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General NPI Number Information
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NPI Number | 1518477538
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Entity Type | Organization
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Legal Business Name | GORDON & GORDON CONSULTING LLC
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 4919 JAMESTOWN AVE # 204D
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City | BATON ROUGE
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State | LA
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Zip | 70808-3228
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Country | US
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Telephone | 225-397-5706
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Fax | 225-612-6347
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Provider Business Mailing Address
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Address Line | 16332 MISSIONARY RIDGE AVE
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City | BATON ROUGE
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State | LA
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Zip | 70817-2272
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Country | US
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Telephone | 225-397-5706
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Fax | 225-612-6347
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHAWN CAMPBELL JOSEPH
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Credential | LPC, LMFT, NCC
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Telephone | 225-397-5706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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