Individual
MILES GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT-I
Contact information
Practice address
6730 S FORT APACHE RD, LAS VEGAS, NV 89148-5396
(702) 665-5593
Mailing address
8121 RUSSELL CREEK CT, LAS VEGAS, NV 89139-7010
(970) 331-3034
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI4409
NV
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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