K'ockac Gordon is a Counselor based in Pasadena, CA. K'ockac Gordon practices in Pasadena, CA. The NPI Number for K'ockac Gordon is 1881993525 and holds a License No. (California).
The current practice location address for K'ockac Gordon is 867 N Fair Oaks Ave, Pasadena, CA and can be reached out via phone at 626-798-6793.
Location: 867 N Fair Oaks Ave, Pasadena, CA, 91103-3050
Provider Profile Details
NPI Number
1881993525
Provider Name
K'ockac Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
867 N Fair Oaks Ave, Pasadena, CA, 91103-3050
Phone Number
626-798-6793
Fax Number
Provider Enumeration Date
03/21/2011
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
867 N Fair Oaks Ave
City
State
Zip
91103-3050
Phone Number
626-798-6793
Fax Number
Provider Business Mailing Address Details
Address
867 N Fair Oaks Ave
City
State
Zip
91103-3050
Phone Number
626-798-6793
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
(California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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