KERTRINA GORDON LPC NPI 1508492778

NPI Information

  • NPI: 1508492778
  • Provider Name: KERTRINA GORDON, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1410 S TELEGRAPH RD
    BLOOMFIELD, MI
    ZIP 48302
  • Phone: (248) 456-8150

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NPI Details

Kertrina Gordon, LPC is a professional counselor in Bloomfield, MI. Kertrina Gordon, LPC NPI is 1508492778. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1410 S TELEGRAPH RD
BLOOMFIELD, MI
ZIP 48302-046
Phone: (248) 456-8150
Fax: (248) 292-1010

The enumeration date for this NPI number is 3/19/2020 and was last updated on 2/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional6401003032MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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