Katisha Gordon, MS
NPI #1619109840 in Macon, Mississippi
Provider Information
- NPI Number
- 1619109840
- Entity Type
- Individual
- Name
- Katisha Gordon, MS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MS
- Enumeration Date
- Aug 21, 2009
- Last Updated
- Aug 21, 2009
Practice Location
- Address
- 200 MLK ST
- City
- Macon
- State
- Mississippi
- ZIP Code
- 39341
- Phone
- (662) 726-5042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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