NPI | 1245869700 |
---|---|
Former Legal Business Name | KATHERINE GORDON MA,EDS, LPC |
Former Legal Business Name | KATHERINE GORDON MA, EDS, LPC |
Entity Type | Organization |
Authorized Contact | RUBY K GORDON Provider 704-923-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-04-06 |
Last Update Date | 2023-11-24 |