Individual provider · Type 1 NPI

Kelly Gordon

Counselor · Buffalo, NY

NPI number 1003217514 Active

Practice location

1280 Main St
Buffalo, NY 14209-1912

Call (716) 882-4357 Map

Fax (716) 882-0293

Mailing address

227 Thorn Ave
Orchard Park, NY 14127-2600

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003217514

Kelly Gordon's National Provider Identifier is 1003217514, issued on Sep 16, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Buffalo, NY. The record was last updated on Sep 16, 2014.