Gordon, Michael Deshuan
Gordon, Michael Deshuan is an sole proprietor health care provider with primary practice located at 112 Spanish Moss Dr , Clinton MS 39056-5838. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gordon, Michael Deshuan can be contacted via phone (601) 376-6222.Contact Information
Primary practice address
112 Spanish Moss Dr
Clinton MS 39056-5838
Phone: (601) 376-6222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2272 | Mississippi |
Profile Details
| NPI number | 1871136267 |
|---|---|
| LBN Legal business name | Gordon, Michael Deshuan |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2019 |
| Last updated | Oct 18th, 2019 - about 7 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871136267 | NPPES |
| Mississippi | Other | NONE | NONE |
Popular Providers
-
Clark, Lashundra
315 Highway 80 E , Clinton MS 39056-4717 -
Jones, Shelley Noelle
604 Highway 80 W Ste Roffice2 , Clinton MS 39056-4108 -
Fletcher, Lashonna Denise
201 Kirkwood Dr , Clinton MS 39056-5970 -
Hardin, Karla S
1401 Pinehaven Rd , Clinton MS 39056-3125 -
White, Kelly H
201 W Leake St Ste 3 , Clinton MS 39056-4253 -
Frelix, Brenda
207 Trailwood Dr , Clinton MS 39056-5844 -
Gayden, Te-Nail Monee'
604 Highway 80 W Ste R , Clinton MS 39056-4108 -
Billiard, Hannah
604 Highway 80 W Ste R , Clinton MS 39056-4108