Devon Kb Gorman, | |
Po Box 457, Ganado, AZ 86505-0457 | |
(928) 755-4586 | |
(928) 755-4747 |
Full Name | Devon Kb Gorman |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | Po Box 457, Ganado, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043047269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LAC-22971 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Devon Kb Gorman, Po Box 52, Chinle, AZ 86503-0052 Ph: (480) 401-6166 | Devon Kb Gorman, Po Box 457, Ganado, AZ 86505-0457 Ph: (928) 755-4586 |
Shanell K Franklin, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 457, Ganado, AZ 86505 Phone: 928-755-4586 | |
Louis Mallette, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: State Hwy Sr 264 And Us 191, Ganado, AZ 86505 Phone: 928-755-4500 |