Individual
HEATHER E GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
7210 112TH ST OFC B, FOREST HILLS, NY 11375-5467
(833) 369-1144
(682) 207-1826
Mailing address
LEYLINE EDUCATION DBA GEEK THERAPEUTICS, 7801 OAKMONT BLVD STE 101, FORT WORTH, TX 76132-4242
(833) 369-1144
(682) 207-1826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32755
NY
101YP2500X
Professional Counselor
93631
TX
Other
Enumeration date
01/26/2017
Last updated
01/16/2024
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