Individual
SUSAN R GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2023 SANDPOINT WEST DR, SANDPOINT, ID 83864-7304
(208) 265-5412
Mailing address
2023 SANDPOINT WEST DR, SANDPOINT, ID 83864-7304
(208) 265-5412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9093
ID
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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