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Individual
SEAN MAGNUS GORDA
Active
Individual
SEAN MAGNUS GORDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSWA, CADC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23-11-20358
OR
101YM0800X
Mental Health Counselor
Primary
24-QMHP-R-2889
OR
1041C0700X
Clinical Social Worker
A15854
OR
171M00000X
Case Manager/Care Coordinator
—
OR
172V00000X
Community Health Worker
THW 1681
OR
175T00000X
Peer Specialist
THW 1681
OR
Other
Enumeration date
03/01/2017
Last updated
12/18/2024
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