person
Aisha Lissette Gordon
Mental Health Counselor in Bloomington, Illinois
NPI 1487118568

Aisha Lissette Gordon is a Mental Health Counselor based in Bloomington, IL and is specialized in Mental Health. Aisha Lissette Gordon practices in Bloomington, IL. The NPI Number for Aisha Lissette Gordon is 1487118568 and holds a License No. (Illinois).

The current practice location address for Aisha Lissette Gordon is 108 W Market St, Bloomington, IL and can be reached out via phone at 309-827-5351.

Location: 108 W Market St, Bloomington, IL, 61701-3918
person
Provider Profile Details
NPI Number
1487118568
Provider Name
Aisha Lissette Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 W Market St, Bloomington, IL, 61701-3918
Phone Number
309-827-5351
Fax Number
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 W Market St
City
State
Zip
61701-3918
Phone Number
309-827-5351
Fax Number
person
Provider Business Mailing Address Details
Address
108 W Market St
City
State
Zip
61701-3918
Phone Number
309-827-5351
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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