Individual
RHONDA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 BROADWAY ST, BUFFALO, NY 14212-1501
(716) 896-7350
Mailing address
555 GLENWOOD AVE, BUFFALO, NY 14208-1906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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