Gordon, Kimberly T

Gordon, Kimberly T is an sole proprietor health care provider with primary practice located at 27 Violet St , Windsor CT 06095-4308. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gordon, Kimberly T can be contacted via phone (959) 231-6693.

Contact Information

Primary practice address
27 Violet St Windsor CT 06095-4308
Phone: (959) 231-6693
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 6428 Connecticut

Profile Details

NPI number 1396266904
LBN Legal business name Gordon, Kimberly T
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2017
Last updated Jun 18th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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