Individual
DAVID A GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAPC, LMLP-T
Contact information
Practice address
100 WINDING CREEK BLVD # 3, MECHANICSBURG, PA 17050-1883
(717) 590-7283
Mailing address
2104 SAINT CLAIR CT, HARRISBURG, PA 17110-9285
(717) 201-5435
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
03333-T
KS
101YM0800X
Mental Health Counselor
03333-T
KS
101YP2500X
Professional Counselor
03333-T
KS
Other
Enumeration date
07/24/2024
Last updated
08/23/2024
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