Individual
ANNE M GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
101 E BROADWAY ST STE 511, MISSOULA, MT 59802-4510
(406) 370-6251
Mailing address
2805 GILBERT AVE, MISSOULA, MT 59802-3201
(406) 549-3239
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
820
MT
1041C0700X
Clinical Social Worker
441
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026364
—
MT
01
—
71465
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/16/2006
Last updated
09/11/2025
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