Individual
MS. DEIDRE MICHELLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3841B SANDSTONE PL SE, ALBUQUERQUE, NM 87116-3015
(505) 702-7803
Mailing address
3841B SANDSTONE PL SE, ALBUQUERQUE, NM 87116-3015
(505) 293-0115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0120411
NM
Other
Enumeration date
02/26/2009
Last updated
04/15/2010
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