Individual
MICHELLE LEA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 DAR DR., CROSSNORE, NC 28616-0249
(828) 733-4305
(828) 733-1704
Mailing address
PO BOX 249, CROSSNORE, NC 28616-0249
(828) 733-4305
(828) 733-1704
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4760
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102468
—
NC
Enumeration date
05/08/2007
Last updated
07/08/2007
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