Thomas W Gordon
Counselor, Addiction (Substance Use Disorder) in Highland Mills, NY. Individual provider (NPI-1).
NPI number1508317363
StatusActive
Last updated in NPPESOct 17, 2016
Details
- NPI
- 1508317363
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas W Gordon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2016
- Last updated
- Oct 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 9258350 | NY | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 32584 | NY |
Other names
- Thomas W Gordon (Professional Name)
Practice location
107 Mineral Springs RdHighland Mills, NY 10930-6228
Phone 914-924-1598
Mailing address
249 Main StreetBeacon, NY 12508
Phone 845-756-2366
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.