Individual
STEVEN D GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
4227 9TH AVE SW, FARGO, ND 58103-2018
(701) 282-6561
(701) 277-0306
Mailing address
2005 JACKSON ST, SAINT PAUL, MN 55117-1916
(651) 248-0649
(701) 277-0306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300757
MN
Other
Enumeration date
02/24/2009
Last updated
11/22/2022
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