Individual provider · Type 1 NPI

Terrez Gordon, MSW

Mental Health Counselor · Chicago, IL

NPI number 1891453148 Active

Practice location

1550 S Indiana Ave # 2NE
Chicago, IL 60605-2857

Call (818) 633-0322 Map

Mailing address

839 E Drexel Sq Apt 2
Chicago, IL 60615-3805

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X21236 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1891453148

Terrez Gordon, MSW's National Provider Identifier is 1891453148, issued on Dec 3, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Dec 3, 2021.