JUDITH L GORDON LPC NPI 1700220233

NPI Information

NPI: 1700220233
Provider Name: JUDITH L GORDON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3288 E PINE AVE
MERIDIAN, ID
ZIP 83642
Phone: (208) 888-8887
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Judith L Gordon, LPC is a professional counselor in Meridian, ID. Judith L Gordon, LPC NPI is 1700220233. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3288 E PINE AVE
MERIDIAN, ID
ZIP 83642-922
Phone: (208) 888-8887
Fax: (208) 658-0153

The enumeration date for this NPI number is 4/26/2013 and was last updated on 4/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YS0200X	Counselor	School	178	IDAHO	No
2	101YP2500X	Counselor	Professional	178	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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