Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADI GORDON
Active Sole ProprietorBRADI GORDON is a Professional Counselor healthcare provider located in SHELBYVILLE, Illinois. NPI 1922639053 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · SHELBYVILLE, IL
Registration Details
- NPI Number
- 1922639053
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2020 (6.5191929893354 yrs)
- Last Updated
- Feb 28, 2023
- Licenses
-
178.015680 (IL)180.015047 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
215 W NORTH 9TH STSHELBYVILLE, IL, 625651015Browse IL providers · Browse ZIP 62565
- Phone
- 7654044002
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in SHELBYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JUSTIN WARD FREEMAN | M.A., LCPC | 1649392952 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.