Individual
JOANN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1643 LEWIS AVE, SUITE #3 OFFICE 6, BILLINGS, MT 59102-4151
(406) 256-3577
(406) 294-0967
Mailing address
1643 LEWIS AVE, SUITE #3 OFFICE 6, BILLINGS, MT 59102-4151
(406) 256-3577
(406) 294-0967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
348LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256763
—
MT
Enumeration date
11/09/2006
Last updated
07/08/2007
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