Individual provider · Type 1 NPI

Stacie Gorden

Mental Health Counselor · Bridgeton, MO

NPI number 1316397110 Active

Practice location

3751 Pennridge Dr Ste 119
Bridgeton, MO 63044-1244

Mailing address

5522 Mclaran Ave
St. Louis, MO 63136-1247

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2015045059 (MO)

Mental Health Counselor: Definition to come...

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About NPI 1316397110

Stacie Gorden's National Provider Identifier is 1316397110, issued on Jun 13, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bridgeton, MO. The record was last updated on Feb 14, 2024.