Corey James Gorder, LPCC

NPI #1588800882 in Bottineau, North Dakota

Provider Information

NPI Number: 1588800882
Entity Type: Individual
Name: Corey James Gorder, LPCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPCC
Enumeration Date: Dec 17, 2008
Last Updated: Jan 6, 2016

Practice Location

Address: 104 11TH ST W
Address 2: STE. 4
City: Bottineau
State: North Dakota
ZIP Code: 58318-2005
Phone: (701) 201-0076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X

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