Individual
MR. JESSE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, LCSW
Contact information
Practice address
149 MINOR ST, NEW HAVEN, CT 06519-1623
(203) 503-3350
Mailing address
190 WOOSTER ST APT 19, NEW HAVEN, CT 06511-5763
(917) 750-3843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001402
CT
1041C0700X
Clinical Social Worker
Primary
15599
CT
Other
Enumeration date
06/04/2021
Last updated
08/02/2025
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