Gordijn, Claire
Gordijn, Claire is an sole proprietor health care provider with primary practice located at 111 W Magnolia Ave , Longwood FL 32750-4130. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Gordijn, Claire can be contacted via phone (407) 215-0095.Contact Information
Primary practice address
111 W Magnolia Ave
Longwood FL 32750-4130
Phone: (407) 215-0095
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | IMH17550 | Florida |
Profile Details
| NPI number | 1699391029 |
|---|---|
| LBN Legal business name | Gordijn, Claire |
| Credentials | MS, RMHCI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2020 |
| Last updated | Mar 31st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699391029 | NPPES |
| Florida | Other | IMH17550 | IMPOWER |
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