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Individual

MS. CHANDRA S. GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADAC; LPC

Contact information

Practice address
1217 BONITA ST, GRANTS, NM 87020-2103
(505) 287-2273
(505) 287-2276
Mailing address
PO BOX 3348, MILAN, NM 87021-3348
(505) 240-0823
(505) 240-0823

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0137551
NM
101YP1600X
Pastoral Counselor
14967
FL

Other

Enumeration date
09/10/2009
Last updated
03/21/2013
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