| Doctor Name: | TEANDRA VASHON GORDON |
| NPI Number: | 1003186164 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMFT |
| License Number: | 201263 |
| Business Practice Address: | 6730 Independence #300 Texas Child And Family Institute Baytown, TX - 77521 |
| Business Phone Number: | 2814219590 |
| Business Fax Number: | 7135234897 |
| Mailing Address: | Po Box 66308, HOUSTON |
| State: | TX |
| Postal Code: | 77266 |
| Phone Number: | 8325485076 |
| Fax Number: | 7135234897 |
| NPI Enumeration Date: | 01/06/2012 |
| NPI Last Update Date: | 11/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 201263 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |