Individual provider · Type 1 NPI

Kimberly Gordon, LPC-IT

Professional Counselor · Appleton, WI

NPI number 1508795345 Active

Practice location

4635 W College Ave
Appleton, WI 54914-8507

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1508795345

Kimberly Gordon, LPC-IT's National Provider Identifier is 1508795345, issued on May 18, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Appleton, WI. The record was last updated on May 18, 2026.