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Bradi Gordon
Professional Counselor in Shelbyville, Illinois
NPI 1922639053

Bradi Gordon is a Professional Counselor based in Shelbyville, IL and is specialized in Professional. Bradi Gordon practices in Shelbyville, IL. The NPI Number for Bradi Gordon is 1922639053 and holds a License No. 178.015680 (Illinois).

The current practice location address for Bradi Gordon is 215 W North 9Th St, Shelbyville, IL and can be reached out via phone at 765-404-4002.

Location: 215 W North 9Th St, Shelbyville, IL, 62565-1015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922639053
Provider Name
Bradi Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
215 W North 9Th St, Shelbyville, IL, 62565-1015
Phone Number
765-404-4002
Fax Number
Provider Enumeration Date
01/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 W North 9Th St
City
Shelbyville
State
Illinois
Zip
62565-1015
Phone Number
765-404-4002
Fax Number
person
Provider Business Mailing Address Details
Address
215 W North 9Th St
City
Shelbyville
State
Illinois
Zip
62565-1015
Phone Number
765-404-4002
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
178.015680 (Illinois)
Definition
Definition to come...
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