Individual provider · Type 1 NPI
Athena A. Gordon, M.S.
Counselor · Centralia, IL
NPI number
1376082685
Active
Practice location
904 E. Martin Luther King Dr
Centralia, IL 62801
Fax (618) 533-0012
Mailing address
904 E. Martin Luther King Drive
Centralia, IL 62801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Counselor Primary | 101Y00000X | None 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 1376082685
Athena A. Gordon, M.S.'s National Provider Identifier is 1376082685, issued on Feb 20, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Centralia, IL. The record was last updated on Jan 31, 2023.