Jeremy Gordon, MFT

NPI #1982760518 in Berkeley, California

Provider Information

NPI Number: 1982760518
Entity Type: Individual
Name: Jeremy Gordon, MFT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Marriage & Family Therapist
Credential: MFT
Enumeration Date: Dec 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1749 MARTIN LUTHER KING JR WAY
City: Berkeley
State: California
ZIP Code: 94709-2139
Phone: (510) 841-8484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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