Individual provider · Type 1 NPI

Chandra S. Gordon, LADAC; LPC

Addiction (Substance Use Disorder) Counselor · Grants, NM

NPI number 1104159060 Active

About NPI 1104159060

Chandra S. Gordon, LADAC; LPC's National Provider Identifier is 1104159060, issued on Sep 10, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grants, NM. The record was last updated on Mar 21, 2013.