Individual
KRISTA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
570 S CLEARWATER LOOP STE B, POST FALLS, ID 83854-5437
(208) 777-2169
(208) 777-2189
Mailing address
570 S CLEARWATER LOOP STE B, POST FALLS, ID 83854-5437
(208) 777-2169
(208) 777-2189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-8926
ID
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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