Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COREY JAMES GORDER, LPCC
Active Sole ProprietorCOREY JAMES GORDER, LPCC is a Counselor healthcare provider located in BOTTINEAU, North Dakota. NPI 1588800882 is currently active in the NPPES registry. Verify at CMS.
Counselor · BOTTINEAU, ND
Registration Details
- NPI Number
- 1588800882
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 17, 2008 (17.625606350805 yrs)
- Last Updated
- Jan 6, 2016
- Licenses
-
569-12-15-06-190 (ND)569-12-15-06-190 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 11TH ST WSTE. 4BOTTINEAU, ND, 583182005Browse ND providers · Browse ZIP 58318
- Phone
- 7012010076
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Mental Health Clinic
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.