Individual provider · Type 1 NPI

Julian M. Gordon, PhD

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1083906358 Active

Practice location

9605 Grand River Ave
Detroit, MI 48204-2139

Mailing address

53 Willow Way
Waterford, MI 48328-2947

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Psychologist 103T00000X6301005530 (MI)

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

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About NPI 1083906358

Julian M. Gordon, PhD's National Provider Identifier is 1083906358, issued on May 5, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Nov 30, 2012.