Individual
TYSHA GORDON-ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1268 ROCKDALE AVE, NEW BEDFORD, MA 02740-2922
(508) 492-9916
Mailing address
1268 ROCKDALE AVE, NEW BEDFORD, MA 02740-2922
(508) 492-9916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22441
MA
Other
Enumeration date
06/14/2017
Last updated
05/19/2023
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