Individual
DR. DESIREE MARTINEAY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2370 W CLEVELAND AVE # 108-320, MADERA, CA 93637-8742
(559) 777-9439
(559) 416-7091
Mailing address
2370 W CLEVELAND AVE # 108-320, MADERA, CA 93637-8742
(559) 777-9439
(559) 416-7091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RA897812
CA
101YP2500X
Professional Counselor
178.003764
IL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
17815
IL
103TC0700X
Clinical Psychologist
Primary
PSY28775
CA
Other
Enumeration date
10/10/2012
Last updated
02/21/2024
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