Female

Tennille Gordon

Community/Behavioral Health Agency in Orlando, FL(View on Map)

Full Name

Tennille Gordon

NPI Number

1427581636

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/05/2017

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MH14647

Contact
Information

Purpose

Mailing
Location

Address

805 S KIRKMAN RD
805 S KIRKMAN RD

City

Orlando
Orlando

State

FL
FL

Postal Code

32811-2200
32811-2200

Country

US
US

Telephone Number

N/A
(407) 245-0012

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/13/2017

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