Individual provider · Type 1 NPI

Gordon Hagbourne, LCSW, LCDC

Mental Health Counselor · Austin, TX

NPI number 1649491564 Active

Practice location

3000 Oak Springs Dr
Austin, TX 78702-2531

Fax (512) 804-3590

Mailing address

1430 Collier St
Austin, TX 78704-2911

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X10249 (TX)
Mental Health Counselor Primary 101YM0800X42670 (TX)
Clinical Social Worker 1041C0700X42670 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1649491564

Gordon Hagbourne, LCSW, LCDC's National Provider Identifier is 1649491564, issued on May 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Sep 11, 2025.