Gordon, Jeremy

Gordon, Jeremy is an individual health care provider with primary practice located at 1749 Martin Luther King Jr Way , Berkeley CA 94709-2139. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gordon, Jeremy can be contacted via phone (510) 841-8484.

Contact Information

Primary practice address
1749 Martin Luther King Jr Way Berkeley CA 94709-2139
Phone: (510) 841-8484
Fax: (510) 540-1707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1982760518
LBN Legal business name Gordon, Jeremy
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 19 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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