Individual provider · Type 1 NPI

Susan Theresa Gordon, LADC

Addiction (Substance Use Disorder) Counselor · Fargo, ND

NPI number 1275729881 Active

Practice location

4227 9th Ave SW
Fargo, ND 58103-2018

Mailing address

715 11th St N
Moorhead, MN 56560-2083

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301445 (MN)

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

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About NPI 1275729881

Susan Theresa Gordon, LADC's National Provider Identifier is 1275729881, issued on Sep 18, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fargo, ND. The record was last updated on Sep 18, 2007.