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Miss Mims Gordon, MED
Professional Counselor in Norris, Tennessee
NPI 1144265398

Mims Gordon is a Professional Counselor based in Norris, TN and is specialized in Professional. Mims Gordon practices in Norris, TN and has the professional credentials of MED. The NPI Number for Mims Gordon is 1144265398 and holds a License No. 298 (Tennessee).

The current practice location address for Mims Gordon is 89 Reservoir, Norris, TN and can be reached out via phone at 865-548-7474.

Location: 89 Reservoir, Norris, TN, 37828-0567
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Provider Profile Details
NPI Number
1144265398
Provider Name
Mims Gordon
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
89 Reservoir, Norris, TN, 37828-0567
Phone Number
865-548-7474
Fax Number
Provider Enumeration Date
06/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4026195 01 TN BC/BS
institution
Provider Business Practice Location Address Details
Address
89 Reservoir
City
State
Zip
37828-0567
Phone Number
865-548-7474
Fax Number
person
Provider Business Mailing Address Details
Address
89 Reservoir
City
State
Zip
37828-0567
Phone Number
865-548-7474
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
298 (Tennessee)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
298 (Tennessee)
Definition
Definition to come...
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