MR. GORDON WILLIS HUDSON MSW LPC NPI 1912081761

NPI Information

NPI: 1912081761
Provider Name: MR. GORDON WILLIS HUDSON, MSW, LPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
325 E SONTERRA BLVD
STE. #230
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 545-6860
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MR. Gordon Willis Hudson, MSW, LPC is a counselor in San Antonio, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Gordon Willis Hudson, MSW, LPC NPI is 1912081761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

325 E SONTERRA BLVD
STE. #230
SAN ANTONIO, TX
ZIP 78258-054
Phone: (210) 545-6860
Fax: (210) 545-6869

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/9/2007.

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
1	101Y00000X	Counselor		8296	TEXAS	Yes
2	106H00000X	Marriage & Family Therapist		001236-042307	TEXAS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	84464L	OTHER	TEXAS	BLUE CROSS/BLUE SHIELD

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: 4/28/2024

NPI Synchronization or Removal

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