Individual
KRISSA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, LAC
Contact information
Practice address
17371 N HIGHWAY 71, MOUNTAINBURG, AR 72946-3615
(479) 790-3915
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2201013
AR
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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