Individual
MR. DARRIN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRC
Contact information
Practice address
2081 W GRAND BLVD, DETROIT, MI 48208-1196
(313) 895-0500
Mailing address
2081 W GRAND BLVD, DETROIT, MI 48208-1196
(313) 895-0500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
M-00308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M-00308
CERTIFIED PEER MENTOR
MI
Enumeration date
04/24/2019
Last updated
06/11/2019
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