Individual
SHAKINA M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
444 CENTER ST, MANCHESTER, CT 06040-3926
(860) 731-5522
(890) 731-5536
Mailing address
141 E MAIN ST, 4TH FLOOR-ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
006085
CT
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/08/2015
Last updated
03/31/2026
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