Individual
MARY ANN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
815 FLACK AVE, ALLIANCE, NE 69301-2722
(308) 762-2723
(308) 217-4277
Mailing address
815 FLACK AVE, ALLIANCE, NE 69301-2722
(308) 762-2723
(308) 217-4277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1588
NE
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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