Individual
PORTIA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
137 N CLARK ST, NEW ORLEANS, LA 70119-5244
(504) 533-4189
Mailing address
783 BELLEMEADE BLVD, GRETNA, LA 70056-7631
(225) 202-0434
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5620
LA
Other
Enumeration date
01/30/2017
Last updated
04/11/2017
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