Individual provider · Type 1 NPI
Mark Robert Andrew Gordon, CDCA
Addiction (Substance Use Disorder) Counselor · Cincinnati, OH
NPI number
1982596607
Active
Practice location
830 Ezzard Charles Dr # OH45214
Cincinnati, OH 45214-2525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCDCIII.162922 (OH) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.193906 (OH) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1982596607
Mark Robert Andrew Gordon, CDCA's National Provider Identifier is 1982596607, issued on Jul 17, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cincinnati, OH. The record was last updated on Oct 1, 2026.