Individual
CANDICE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 N COOPER ST, ARLINGTON, TX 76011-5517
(817) 261-3121
Mailing address
4724 LINCOLNSHIRE DR, GRAND PRAIRIE, TX 75052-8341
(682) 226-2022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
72139
TX
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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