Individual
PATRICIA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 MLK JR. WAY, #5002, TACOMA, WA 98415
(206) 755-6264
Mailing address
PO BOX 5002, TACOMA, WA 98415-0002
(206) 755-6264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
60533000
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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