Individual
DARRYEL J GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RMA, CASAC TRAINED
Contact information
Practice address
249 AVENUE P, BROOKLYN, NY 11204-4946
(192) 923-2279
Mailing address
7410 RIDGE BLVD APT 2D, BROOKLYN, NY 11209-2336
(192) 923-2279
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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