Individual provider · Type 1 NPI

Madison Gordon

Mental Health Counselor · West Jordan, UT

NPI number 1720790868 Active

Practice location

1970 W 7800 S
West Jordan, UT 84088-4025

Call (801) 268-4887 Map

Mailing address

104 W Medical Dr Ste 1
Saratoga Springs, UT 84045-3191

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Community Health Worker 172V00000XNone listed
Behavior Technician 106S00000XNone listed

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About NPI 1720790868

Madison Gordon's National Provider Identifier is 1720790868, issued on Dec 20, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Jordan, UT. The record was last updated on Sep 3, 2025.