Individual
JONATHAN ADAM GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 E 22ND ST N BLDG 2300-3, WICHITA, KS 67226-2306
(513) 680-5499
Mailing address
2250 N ROOSEVELT ST, WICHITA, KS 67220-2809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04963
KS
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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