Individual
MARGARET ANN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
17 SUSSEX ST, PORT JERVIS, NY 12771-2430
(845) 856-6344
(845) 856-4091
Mailing address
17 SUSSEX ST, PORT JERVIS, NY 12771-2430
(845) 856-6344
(845) 856-4091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33529
NY
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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