Gordon, Jamie Lee

Gordon, Jamie Lee is an individual health care provider with primary practice located at 920 Mitchell St , Conway AR 72034-5148. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gordon, Jamie Lee can be contacted via phone (501) 620-0162.

Contact Information

Primary practice address
920 Mitchell St Conway AR 72034-5148
Phone: (501) 620-0162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P0509059 Arkansas

Profile Details

NPI number 1649383886
LBN Legal business name Gordon, Jamie Lee
Credentials LPC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Apr 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649383886 NPPES
Other 1639558398 NPPES
Other 1639558398 NPPES

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