Individual
MS. DAWN MICHELLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 CARMEN LN STE A, SANTA MARIA, CA 93458-7768
(805) 348-1850
Mailing address
124 CARMEN LN STE A, SANTA MARIA, CA 93458-7768
(805) 348-1850
(559) 248-8555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316192149
TELECARE SANTA MARIA ACT
—
Enumeration date
08/16/2007
Last updated
03/31/2020
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