MS. Lupe Manuela Gordon
MS. Lupe Manuela Gordon is a Mental Health Counselor in Covina, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
510 S 2nd Ave Ste 7Covina, CA 91723-3017
Phone: (626) 974-8122
Fax: (626) 974-8198
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1366571861 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 2, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 451 Anderwood Ct Apt F, Pomona, CA 91768-1740 |
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