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Athena A Gordon, MS
Counselor in Centralia, Illinois
NPI 1376082685

Athena A Gordon is a Counselor based in Centralia, IL. Athena A Gordon practices in Centralia, IL and has the professional credentials of MS. The NPI Number for Athena A Gordon is 1376082685 and holds a License No. (Illinois).

The current practice location address for Athena A Gordon is 904 E. Martin Luther King Dr, Centralia, IL and can be reached out via phone at 618-533-1391 and via fax at 618-533-0012.

Location: 904 E. Martin Luther King Dr, Centralia, IL, 62801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376082685
Provider Name
Athena A Gordon
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
904 E. Martin Luther King Dr, Centralia, IL, 62801
Phone Number
618-533-1391
Fax Number
618-533-0012
Provider Enumeration Date
02/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
904 E. Martin Luther King Dr
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1391
Fax Number
618-533-0012
person
Provider Business Mailing Address Details
Address
904 E. Martin Luther King Dr
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1391
Fax Number
618-533-0012
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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