Individual
ALYSSA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3191 CHURN CREEK RD, REDDING, CA 96002-2123
(530) 224-7160
(530) 224-7168
Mailing address
PO BOX 494100, REDDING, CA 96049-4100
(530) 224-7160
(530) 224-7168
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
03/30/2022
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