Individual provider · Type 1 NPI

Ivy Marie Gordon

Addiction (Substance Use Disorder) Counselor · Eureka, CA

NPI number 1356843353 Active

Practice location

720 Wood St
Eureka, CA 95501-4413

Call (707) 268-2987 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1356843353

Ivy Marie Gordon's National Provider Identifier is 1356843353, issued on Mar 6, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eureka, CA. The record was last updated on Mar 6, 2018.