Individual provider · Type 1 NPI
Krissa Gordon, CRC, LAC
Mental Health Counselor · Mountainburg, AR
NPI number
1669180873
Active
Practice location
17371 N Highway 71
Mountainburg, AR 72946-3615
Mailing address
1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676
Other practice locations
- 74 W Sunbridge Dr, Fayetteville, AR 72703-1822 · (479) 582-5565
- 801 Viney Grove Rd, Prairie Grove, AR 72753-2623 · (479) 582-5565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A2201013 (AR) |
Mental Health Counselor: Definition to come...
About NPI 1669180873
Krissa Gordon, CRC, LAC's National Provider Identifier is 1669180873, issued on Nov 8, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mountainburg, AR. The record was last updated on Nov 8, 2022.