Individual
NICOLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ADDC
Contact information
Practice address
1865 OLD RANCH RD, COLORADO SPRINGS, CO 80908-4528
(719) 528-3900
Mailing address
6430 BROOK PARK DR, COLORADO SPRINGS, CO 80918-1432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADDC.0000410
CO
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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