Individual
PIA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 DRY BRIDGE RD, FARMVILLE, VA 23901-5446
(434) 694-8108
Mailing address
301 E 3RD ST # 167, FARMVILLE, VA 23901-1509
(434) 694-8108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
175T00000X
Peer Specialist
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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