Individual provider · Type 1 NPI
Angela Gordon
Addiction (Substance Use Disorder) Counselor · Staten Island, NY
NPI number
1487027082
Active
Practice location
56 Bay St Fl 6
Staten Island, NY 10301-2563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 21007 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1487027082
Angela Gordon's National Provider Identifier is 1487027082, issued on Nov 4, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Nov 4, 2015.