Individual
DESTINEE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15915 KINGFIELD DR APT 1266, HOUSTON, TX 77084-7132
(716) 579-7049
Mailing address
15915 KINGFIELD DR APT 1266, HOUSTON, TX 77084-7132
(716) 579-7049
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
114005
NY
1041C0700X
Clinical Social Worker
Primary
110364
TX
1041C0700X
Clinical Social Worker
SW23991
FL
Other
Enumeration date
10/20/2022
Last updated
08/12/2025
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