Gordon, Lynnette Ann

Gordon, Lynnette Ann is an individual health care provider with primary practice located at 319 North Graham Hopedale Road Suite A, Burlington NC 27217-2992. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Gordon, Lynnette Ann can be contacted via phone (336) 513-4200.

Contact Information

Primary practice address
319 North Graham Hopedale Road Suite A Burlington NC 27217-2992
Phone: (336) 513-4200
Fax: (336) 513-4449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 987 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 4457 North Carolina
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4457 North Carolina

Profile Details

NPI number 1558494757
LBN Legal business name Gordon, Lynnette Ann
Credentials LPC, LCAS, CRC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Feb 9th, 2010 - about 15 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 1558494757 NPPES
North Carolina MEDICAID 61003110
North Carolina Other 4457
North Carolina Other 987

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