Individual
MELINDA DAWN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
384 CARRIAGE HOUSE DR STE C, JACKSON, TN 38305-2268
(731) 868-7297
Mailing address
PO BOX 125, TRENTON, TN 38382-0125
(731) 334-1666
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6617
TN
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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