Active NPIIndividual provider

Glenn R Gordon, LADC, MHRT-CSP

Counselor, Addiction (Substance Use Disorder) in Rumford, Maine

NPI Number1063264083
Practice location
150 Congress St, Rumford, ME 04276-2035
Fax
—
Last updated
April 3, 2024

Glenn Robert Gordon is a Counselor, Addiction (Substance Use Disorder) based in Rumford, ME. Glenn Robert Gordon practices in Rumford, ME and has the professional credentials of LADC, MHRT-CSP. The NPI Number for Glenn Robert Gordon is 1063264083 and holds a License No. LC8262 (ME). The current practice location address for Glenn Robert Gordon is 150 Congress St, Rumford, ME 04276-2035 and can be reached out via phone at 207-357-1751.

Provider Profile Details

NPI Number
1063264083
Provider Name
Glenn Robert Gordon
Credential
LADC, MHRT-CSP
Provider Entity Type
Individual
Gender
Male
Address
150 Congress St, Rumford, ME 04276-2035
Phone Number
207-357-1751
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
April 3, 2024
Last Update Date
April 3, 2024
Certification Date
April 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Congress St
Rumford, ME 04276-2035
State
Maine
Zip
04276-2035
Phone Number
207-357-1751
Rumford, ME 04276Get directions →

Provider Business Mailing Address Details

Address
150 Congress St
Rumford, ME 04276-2035
City
Rumford
State
ME
Zip
04276-2035
Phone Number
207-357-1751

License Information

License Number
LC8262
License State
ME
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Glenn R Gordon, LADC, MHRT-CSP?

The NPI number of Glenn R Gordon, LADC, MHRT-CSP is 1063264083. It was assigned on April 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Glenn R Gordon, LADC, MHRT-CSP?

Glenn R Gordon, LADC, MHRT-CSP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number LC8262.

Where does Glenn R Gordon, LADC, MHRT-CSP practice?

The practice location is 150 Congress St, Rumford, ME 04276-2035. The office can be reached at 207-357-1751 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063264083 directly on the NPPES registry website.

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