Individual provider · Type 1 NPI
John Joseph Gordon, Jr., CASAC, ICADC
Addiction (Substance Use Disorder) Counselor · Danbury, CT
NPI number
1023406030
Active
Practice location
68 Virginia Ave, Unit 7
Danbury, CT 06810-5764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1023406030
John Joseph Gordon, Jr., CASAC, ICADC's National Provider Identifier is 1023406030, issued on Dec 26, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Danbury, CT. The record was last updated on Dec 26, 2014.