Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kristin Dewaila Gordon, DBH, LSSYB, RMHCI

Individual provider Professional Counselor · NPI 1033952288

Dr. Kristin Dewaila Gordon, DBH, LSSYB, RMHCI is a Professional Counselor in Leesburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

32428 Quiet Harbor Ave Unit 203
Leesburg, FL 34788-8726
Phone: (850) 346-6377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH25966 (FL)
Professional Counselor Taxonomy 101YP2500X · Licence IMH25966 (FL)

Record details

NPI number1033952288
Entity typeIndividual (Type 1)
GenderFemale
Credentials DBH , LSSYB , RMHCI
Sole proprietorYes
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 15, 2024

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