Individual provider · Type 1 NPI

Glenn Robert Gordon, LADC, MHRT-CSP

Addiction (Substance Use Disorder) Counselor · Rumford, ME

NPI number 1063264083 Active

Practice location

150 Congress St
Rumford, ME 04276-2035

Call (207) 357-1751 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLC8262 (ME)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063264083

Glenn Robert Gordon, LADC, MHRT-CSP's National Provider Identifier is 1063264083, issued on Apr 3, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rumford, ME. The record was last updated on Apr 3, 2024.