Individual
ALLISON VANGORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 DESERT WILLOW DR, CARLSBAD, NM 88220-4125
(765) 499-7396
Mailing address
1511 DESERT WILLOW DR, CARLSBAD, NM 88220-4125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CTB-2024-0368
NM
101YP2500X
Professional Counselor
Primary
86889
TX
Other
Enumeration date
04/29/2024
Last updated
07/23/2024
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