Individual
MRS. TREVENE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, LPC, CSAC
Contact information
Practice address
11923 CENTRE ST STE C, CHESTER, VA 23831-1702
(804) 502-3723
Mailing address
3200 RANSOM HILLS RD, NORTH CHESTERFIELD, VA 23237-3571
(804) 502-3723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103698
VA
101YM0800X
Mental Health Counselor
Primary
0701013512
VA
101YP2500X
Professional Counselor
0701013512
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0701013512
VA
Other
Enumeration date
04/18/2022
Last updated
05/19/2026
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