| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KIMBERLY GORDON | 1124627666 | 2020-10-24 |
Kimberly Gordon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1124627666. Registration indicates Kimberly Gordon is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Ms. Kimberly Gordon LMHC |
| Practice Office Address | 24 SHEEHAN RD WARREN, CT US |
| Practice Office Telephone | 9145234924 |
| Mailing Address | 24 SHEEHAN RD WARREN, CT 067771008 US |
| Business Telephone | 9144240229 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 008255
NY |