Individual
ALISSA MARIE LOUWAGIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2500 SW 107TH AVE STE 42, MIAMI, FL 33165-2492
(786) 615-3334
Mailing address
2500 SW 107TH AVE STE 42, MIAMI, FL 33165-2492
(507) 829-5589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH24037
FL
Other
Enumeration date
02/07/2022
Last updated
07/22/2024
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