Individual
ZACHARY ALEC GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 JACKSON ST, LOWELL, MA 01852-2103
(978) 459-8656
Mailing address
101 JACKSON ST, LOWELL, MA 01852-2103
(978) 459-8656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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