Individual
MARC GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
234 WAIANUENUE AVE, SUITE 215, HILO, HI 96720-2418
(808) 935-7949
(808) 935-5996
Mailing address
234 WAIANUENUE AVE, SUITE 215, HILO, HI 96720-2418
(808) 935-7949
(808) 935-5996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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