Individual provider · Type 1 NPI
Trista Gordon
Mental Health Counselor · Bunkie, LA
NPI number
1336509280
Active
Practice location
611 Patton St
Bunkie, LA 71322-2369
Fax (318) 253-2222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1336509280
Trista Gordon's National Provider Identifier is 1336509280, issued on Mar 3, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bunkie, LA. The record was last updated on Mar 3, 2016.