Individual
AMANDA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACIII
Contact information
Practice address
1437 S BELCHER RD, CLEARWATER, FL 33764-2829
(727) 524-4464
(727) 538-7272
Mailing address
1004 CARBON, TRINIDAD, CO 81082-3664
(719) 846-4481
(719) 846-6660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6848
CO
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
02/19/2015
Last updated
05/13/2021
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