Lookup NPI Numbers from the NPI Registry
NPI Profile for CHANDRA S GORDON in GRANTS, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Pastoral |
101YP1600X |
| NPI # | 1104159060 |
|
| Status | Active | |
| Credentials | LADAC; LPC | |
| Entity | Individual | |
| Enumeration date | 09/10/2009 | |
| Last updated | 03/21/2013 - About 13 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHANDRA S GORDON
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CHANDRA S GORDON, LADAC; LPC