Individual provider · Type 1 NPI
Thomas W. Gordon
Addiction (Substance Use Disorder) Counselor · Highland Mills, NY
NPI number
1508317363
Active
Practice location
107 Mineral Springs Rd
Highland Mills, NY 10930-6228
Mailing address
249 Main Street
Beacon, NY 12508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 9258350 (NY) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 32584 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1508317363
Thomas W. Gordon's National Provider Identifier is 1508317363, issued on Oct 17, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Highland Mills, NY. The record was last updated on Oct 17, 2016.