Individual provider · Type 1 NPI

Stephen Gordon

Mental Health Counselor · Lexington, KY

NPI number 1760262240 Active

Practice location

1221 Providence Ln
Lexington, KY 40502-2380

Call (540) 219-9672 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1760262240

Stephen Gordon's National Provider Identifier is 1760262240, issued on Oct 3, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, KY. The record was last updated on Oct 3, 2023.