Individual provider · Type 1 NPI
Kassidi O'Gorman, LPC-ASSOCIATE
Professional Counselor · Tyler, TX
NPI number
1508508375
Active
Practice location
8310 Yale Dr
Tyler, TX 75703-5168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 86307 (TX) |
Professional Counselor: Definition to come...
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About NPI 1508508375
Kassidi O'Gorman, LPC-ASSOCIATE's National Provider Identifier is 1508508375, issued on Apr 11, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Apr 11, 2022.