Individual
DANIELLE ISABEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
308 N CALIFORNIA ST, SOCORRO, NM 87801-4207
(575) 838-0061
Mailing address
PO BOX 1185, MAGDALENA, NM 87825-1185
(575) 838-0061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0306
NM
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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