LANETTE GORDON

Counselor

Active Individual
NPI: 1598281065

Practice Address

544 S MAIN ST # B
Fort Bragg, CA 95437

Phone: (707) 961-0308

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1598281065 is the National Provider Identifier for LANETTE GORDON, a Counselor provider located in Fort Bragg, CA. This NPI was enumerated on August 16, 2017.
LANETTE GORDON practices at 544 S MAIN ST # B, Fort Bragg, CA 95437.

Quick Facts

NPI
1598281065
Type
Individual
Enumerated
Aug 16, 2017
Last Updated
Aug 30, 2017

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