Individual
MS. KIMBERLY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
24 SHEEHAN RD, WARREN, CT 06777-1008
(914) 523-4924
Mailing address
24 SHEEHAN RD, WARREN, CT 06777-1008
(914) 424-0229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008255
NY
Other
Enumeration date
10/24/2020
Last updated
10/24/2020
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