Individual provider · Type 1 NPI

Misty S. Gordon, M.A.

Mental Health Counselor · Concord, NC

NPI number 1780946947 Active

Practice location

363 Church St N, Suite 200
Concord, NC 28025-4589

Mailing address

9541 Kings Parade Blvd, Apt 307
Charlotte, NC 28273-5685

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780946947

Misty S. Gordon, M.A.'s National Provider Identifier is 1780946947, issued on Jun 13, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Concord, NC. The record was last updated on Jun 13, 2012.