Individual provider · Type 1 NPI

Patricia Ann Gordon, LACS, LAC, CS

Addiction (Substance Use Disorder) Counselor · Walterboro, SC

NPI number 1922577758 Active

Practice location

361 E Washington St
Walterboro, SC 29488-3919

Call (843) 584-7393 Map

Fax (843) 977-1711

Mailing address

317 Springlakes Estates Dr
Lyman, SC 29365-1361

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X809 (SC)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X809 (SC)

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

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About NPI 1922577758

Patricia Ann Gordon, LACS, LAC, CS's National Provider Identifier is 1922577758, issued on Nov 22, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Walterboro, SC. The record was last updated on Sep 1, 2026.