| NPI | 1629159678 |
|---|---|
| Other Name | LINDA K GORDON |
| Entity Type | Organization |
| Authorized Contact | LINDA K GORDON Owner President Sole Employee 651-688-3168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MN LADC300273) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP3677) |
| 103T00000X Psychologist (Licence: MN LP3677) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |