Individual
CHRISTOPHER GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7910 RUGBY ST, PHILA, PA 19150-2512
(267) 304-7475
Mailing address
7910 RUGBY ST, PHILA, PA 19150-2512
(267) 304-7475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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