Individual
MRS. BOBBI BURNS GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
212 S WHITWORTH AVE, BROOKHAVEN, MS 39601
(601) 822-2286
(601) 822-2296
Mailing address
PO BOX 3879, BROOKHAVEN, MS 39603-7879
(601) 822-2286
(601) 822-2296
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2387
MS
101YM0800X
Mental Health Counselor
2387
MS
101YP2500X
Professional Counselor
Primary
2387
MS
Other
Enumeration date
02/27/2020
Last updated
09/10/2021
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