| NPI | 1245538545 |
|---|---|
| Professional Name | JOE GORTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 6815649-6004) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: UT 6815649-3503) |
| 101YP2500X Counselor Professional (Licence: CO LPC.0020480) | |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2024-03-22 |