Individual provider · Type 1 NPI
Mia Emily Gordon, LPC
Professional Counselor · Little Rock, AR
NPI number
1396183091
Active
Practice location
204 Executive Ct Ste 301
Little Rock, AR 72205-4532
Mailing address
425 W Capitol Ave Ste 1213
Little Rock, AR 72201-3405
Other practice locations
- 575 Club Ln Ste 103, Conway, AR 72034-3680 · (501) 404-9737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | P1508084 (AR) |
| Mental Health Counselor | 101YM0800X | A1305056 (AR) |
| Clinic/Center | 261Q00000X | None listed |
Professional Counselor: Definition to come...
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About NPI 1396183091
Mia Emily Gordon, LPC's National Provider Identifier is 1396183091, issued on Jun 5, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Little Rock, AR. The record was last updated on Jul 24, 2023.