Individual provider · Type 1 NPI

Patrice Gordon

Mental Health Counselor · Springfield Gardens, NY

NPI number 1629230347 Active

Practice location

13325 220th St
Springfield Gardens, NY 11413-1636

Fax (718) 859-9767

Mailing address

2233 Nostrand Ave, 2nd Fl.
Brooklyn, NY 11210-3029

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629230347

Patrice Gordon's National Provider Identifier is 1629230347, issued on Jun 25, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield Gardens, NY. The record was last updated on Jun 25, 2008.