MRS. Viola M Statham Gordon, MA, PE, LPCA

NPI #1508906207 in Stanford, Kentucky

Provider Information

NPI Number: 1508906207
Entity Type: Individual
Name: MRS. Viola M Statham Gordon, MA, PE, LPCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MA, PE, LPCA
Enumeration Date: Feb 8, 2007
Last Updated: Nov 10, 2009

Practice Location

Address: 322 FRONTIER BLVD
City: Stanford
State: Kentucky
ZIP Code: 40484-7730
Phone: (859) 253-1686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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