Individual
MS. KIMBERLY T GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
27 VIOLET ST, WINDSOR, CT 06095-4308
(959) 231-6693
Mailing address
PO BOX 161, WINDSOR, CT 06095-0161
(959) 231-6693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6428
CT
Other
Enumeration date
07/05/2017
Last updated
06/18/2024
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