Individual provider · Type 1 NPI

Shelbey Gordon

Mental Health Counselor · South Holland, IL

NPI number 1730641200 Active

Practice location

16278 Prince Dr
South Holland, IL 60473-3233

Call (708) 754-8815 Map

Fax (708) 798-1315

Mailing address

17746 Oak Park Ave
Tinley Park, IL 60477-3936

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730641200

Shelbey Gordon's National Provider Identifier is 1730641200, issued on Apr 3, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Holland, IL. The record was last updated on Apr 3, 2019.