Individual
MS. AALIYAH D'SHAE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
605 STATE ST, SPRINGFIELD, MA 01109-4114
(413) 266-2201
(413) 301-5164
Mailing address
605 STATE ST, SPRINGFIELD, MA 01109-4114
(413) 266-2201
(413) 301-5164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S91450287
MA
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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