IndividualActive
Aisha Gordon
NPI 1487118568 · Mental Health Counselor · Bloomington, IL
Provider details
- NPI number
- 1487118568
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
108 W Market St
Bloomington, IL 61701-3918
Registry dates
- Enumerated
- 2019-01-23
- Last updated
- 2019-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.