Individual provider · Type 1 NPI

Deirdra Gordon, LPC

Professional Counselor · Fort Smith, AR

NPI number 1912529207 Active

Practice location

3111 S 70th St
Fort Smith, AR 72903-5017

Mailing address

5410 Phoenix Ave Unit 134
Fort Smith, AR 72903-6054

Other practice locations

  • 5410 Phoenix Avenue, Unit # 134, Fort Smith, AR 72903-6054 · (479) 388-1272

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XA1902016 (AR)
Professional Counselor Primary 101YP2500XP2208011 (AR)

Professional Counselor: Definition to come...

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About NPI 1912529207

Deirdra Gordon, LPC's National Provider Identifier is 1912529207, issued on May 10, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Smith, AR. The record was last updated on Nov 25, 2024.