Individual provider · Type 1 NPI

Viola M. Statham Gordon, MA, PE, LPCA

Professional Counselor · Stanford, KY

NPI number 1508906207 Active

Practice location

322 Frontier Blvd
Stanford, KY 40484-7730

Call (859) 253-1686 Map

Fax (859) 254-2743

Mailing address

1351 Newtown Pike
Lexington, KY 40511-1217

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1046

Professional Counselor: Definition to come...

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About NPI 1508906207

Viola M. Statham Gordon, MA, PE, LPCA's National Provider Identifier is 1508906207, issued on Feb 8, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stanford, KY. The record was last updated on Nov 10, 2009.