Mary Gordon
Counselor, Addiction (Substance Use Disorder) in Washington, DC. Individual provider (NPI-1).
NPI number1184201212
StatusActive
Last updated in NPPESMar 25, 2021
Details
- NPI
- 1184201212
- Entity type
- Individual (NPI-1)
- Name
- Mary Gordon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2021
- Certification date
- Mar 25, 2021
- Last updated
- Mar 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
2112 F St Nw Ste 102Washington, DC 20037-2722
Phone 202-349-3236
Mailing address
2112 F St Nw Ste 102Washington, DC 20037-2722
Phone 202-349-3236
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