JONATHAN ADAM GORDON

WICHITA, KS
NPI1992519144
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: KS  04963)
Enumeration Date2025-02-06
Last Update Date2025-02-06
Business Address
JONATHAN ADAM GORDON
8100 E 22ND ST N BLDG 2300-3
WICHITA, KS 67226-2306
Phone number: 513-680-5499
Mailing Address
JONATHAN ADAM GORDON
2250 N ROOSEVELT ST
WICHITA, KS 67220-2809
Phone number: