Provider Demographics
NPI:1528853470
Name:MCNAMEE, GORDON LESLIE (LPC C0004759, MDIV)
Entity type:Individual
Prefix:
First Name:GORDON
Middle Name:LESLIE
Last Name:MCNAMEE
Suffix:
Gender:M
Credentials:LPC C0004759, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1846 ARBORHILL DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2152
Mailing Address - Country:US
Mailing Address - Phone:614-818-9726
Mailing Address - Fax:614-259-3663
Practice Address - Street 1:1846 ARBORHILL DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2152
Practice Address - Country:US
Practice Address - Phone:614-818-9726
Practice Address - Fax:614-259-3663
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.0004759101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional