Individual
CHRISTOPHER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
15 E 5TH ST, MOUNTAIN HOME, AR 72653-3809
(870) 425-2030
(870) 425-7030
Mailing address
PO BOX 2563, MOUNTAIN HOME, AR 72654-2563
(714) 469-4601
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P1505049
AR
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
P1505049
AR
Other
Enumeration date
10/21/2011
Last updated
05/03/2023
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