Emily Gordon
Counselor, Mental Health in Prestonsburg, KY. Individual provider (NPI-1).
NPI number1164052098
StatusActive
Last updated in NPPESJan 20, 2020
Details
- NPI
- 1164052098
- Entity type
- Individual (NPI-1)
- Name
- Emily Gordon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2020
- Certification date
- Jan 20, 2020
- Last updated
- Jan 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
104 S Front AvePrestonsburg, KY 41653-1614
Phone 606-886-8575 · Fax 606-886-4433
Mailing address
104 S Front AvePrestonsburg, KY 41653-1614
Phone 606-886-8575 · Fax 606-886-4433
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