Individual
MARY ANN N/A GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 N PROGRESS AVE, HARRISBURG, PA 17110-9100
(717) 233-7290
(717) 810-1841
Mailing address
3601 N PROGRESS AVE, HARRISBURG, PA 17110-9100
(717) 233-7290
(717) 810-1841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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