Individual provider · Type 1 NPI
Bradi Gordon
Professional Counselor · Shelbyville, IL
NPI number
1922639053
Active
Practice location
215 W North 9th St
Shelbyville, IL 62565-1015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 178.015680 (IL) |
| Professional Counselor Primary | 101YP2500X | 180.015047 (IL) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Shelbyville
About NPI 1922639053
Bradi Gordon's National Provider Identifier is 1922639053, issued on Jan 28, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shelbyville, IL. The record was last updated on Feb 28, 2023.