Individual provider · Type 1 NPI

Shaina Gordon

Mental Health Counselor · Decatur, GA

NPI number 1003296062 Active

Practice location

465 Winn Way, 221
Decatur, GA 30030-1753

Mailing address

980 Saint Charles Ave NE, #3
Atlanta, GA 30306-4263

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCSW005234 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1003296062

Shaina Gordon's National Provider Identifier is 1003296062, issued on Jun 4, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, GA. The record was last updated on Feb 18, 2017.