Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN GORDON
DeactivatedJACQUELYN GORDON is a Marriage & Family Therapist healthcare provider located in PASADENA, California. NPI 1033872692 is deactivated in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · PASADENA, CA
This NPI has been deactivated.
The record was deactivated on November 12, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1033872692
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2021 (3.0630136986301 yrs)
- Last Updated
- Dec 11, 2024
- Deactivated
- Nov 12, 2024
- License
-
AMFT149970 (CA)
Practice Information
- Address
-
1055 E COLORADO BLVD STE 560PASADENA, CA, 911062380Browse CA providers · Browse ZIP 91106
- Phone
- 8182416780
- Fax
- 8182416853
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in PASADENA, CA
| Name | Credential | NPI |
|---|---|---|
| EMILY A. MOORE | MFT | 1801827118 |
| CHRIS TICKNER | MA, MFT | 1699793687 |
| MS. EUN KYUNG JIN | MFT | 1194747246 |
| RICHARD A FRASER | PHD | 1194748970 |
| MS. NORMA ENCARNACION | M.F.T. | 1992714646 |
| EILEEN BEIRICH | MFT | 1134138233 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.