Individual provider · Type 1 NPI

Katisha Gordon, MS

Mental Health Counselor · Macon, MS

NPI number 1619109840 Active

Practice location

200 Mlk St
Macon, MS 39341

Call (662) 726-5042 Map

Fax (662) 726-5009

Mailing address

302 N Jackson St
Starkville, MS 39759-2504

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619109840

Katisha Gordon, MS's National Provider Identifier is 1619109840, issued on Aug 21, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Macon, MS. The record was last updated on Aug 21, 2009.