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Stacie Gorden
Mental Health Counselor in Bridgeton, Missouri
NPI 1316397110

Stacie Gorden is a Mental Health Counselor based in Saint Louis, MO and is specialized in Mental Health. Stacie Gorden practices in Bridgeton, MO. The NPI Number for Stacie Gorden is 1316397110 and holds a License No. 2015045059 (Missouri).

The current practice location address for Stacie Gorden is 3751 Pennridge Dr Ste 119, Bridgeton, MO and can be reached out via phone at 314-744-9276.

Location: 3751 Pennridge Dr Ste 119, Bridgeton, MO, 63136-1247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316397110
Provider Name
Stacie Gorden
Credential
Provider Entity Type
Individual
Gender
Female
Address
3751 Pennridge Dr Ste 119, Bridgeton, MO, 63136-1247
Phone Number
314-744-9276
Fax Number
Provider Enumeration Date
06/13/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3751 Pennridge Dr Ste 119
City
Bridgeton
State
Missouri
Zip
63044-1244
Phone Number
314-744-9276
Fax Number
person
Provider Business Mailing Address Details
Address
3751 Pennridge Dr Ste 119
City
Bridgeton
State
Missouri
Zip
63044-1244
Phone Number
314-744-9276
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2015045059 (Missouri)
Definition
Definition to come...
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