Trista Gordon

NPI #1336509280 in Bunkie, Louisiana

Provider Information

NPI Number: 1336509280
Entity Type: Individual
Name: Trista Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 3, 2016
Last Updated: Mar 3, 2016

Practice Location

Address: 611 PATTON ST
City: Bunkie
State: Louisiana
ZIP Code: 71322-2369
Phone: (318) 264-4598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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