Individual provider · Type 1 NPI

Latasha Monique Gordon, LICDC, LPC

Addiction (Substance Use Disorder) Counselor · Parma, OH

NPI number 1922459072 Active

Practice location

5850 Ridge Rd
Parma, OH 44129-3169

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XC.2406556 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.162742 (OH)

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

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About NPI 1922459072

Latasha Monique Gordon, LICDC, LPC's National Provider Identifier is 1922459072, issued on Jun 29, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Parma, OH. The record was last updated on Dec 3, 2024.