Individual
KRISTIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
109 OSIGIAN BLVD STE 400, WARNER ROBINS, GA 31088-8925
(478) 449-1475
Mailing address
109 OSIGIAN BLVD STE 400, WARNER ROBINS, GA 31088-8925
(478) 449-1475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006388
GA
Other
Enumeration date
06/03/2021
Last updated
08/23/2021
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