person
Katisha Gordon, MS
Mental Health Counselor in Macon, Mississippi
NPI 1619109840

Katisha Gordon is a Mental Health Counselor based in Starkville, MS and is specialized in Mental Health. Katisha Gordon practices in Macon, MS and has the professional credentials of MS. The NPI Number for Katisha Gordon is 1619109840 and holds a License No. (Mississippi).

The current practice location address for Katisha Gordon is 200 Mlk St, Macon, MS and can be reached out via phone at 662-726-5042 and via fax at 662-726-5009.

Location: 200 Mlk St, Macon, MS, 39759-2504
person
Provider Profile Details
NPI Number
1619109840
Provider Name
Katisha Gordon
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
200 Mlk St, Macon, MS, 39759-2504
Phone Number
662-726-5042
Fax Number
662-726-5009
Provider Enumeration Date
08/21/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Mlk St
City
State
Zip
39341
Phone Number
662-726-5042
Fax Number
662-726-5009
person
Provider Business Mailing Address Details
Address
200 Mlk St
City
State
Zip
39341
Phone Number
662-726-5042
Fax Number
662-726-5009
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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