Organization
QOL GUIDANCE PC
Active
Other names
Linda K Gordon
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA K GORDON MA LP LADC (OWNER PRESIDENT SOLE EMPLOYEE)
(651) 688-3168
Entity
Organization
Contact information
Practice address
4651 NICOLS RD, SUITE 102A, EAGAN, MN 55122-3336
(651) 688-3168
(651) 688-3583
Mailing address
4651 NICOLS RD, SUITE 102A, EAGAN, MN 55122-3336
(651) 688-3168
(651) 688-3583
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP3677
MN
103TA0400X
Addiction (Substance Use Disorder) Psychologist
LADC300273
MN
103TC1900X
Counseling Psychologist
Primary
LP3677
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
499R3QO
BLUE CROSS BLUE SHIELD
MN
01
—
6254046
UNITED BEHAVIORAL HEALTH
MN
01
—
7496066
AETNA
MN
Enumeration date
10/18/2006
Last updated
09/11/2025
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