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 |