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C N Gordon
Addiction (Substance Use Disorder) Counselor in Santa Cruz, California
NPI 1164688446

C N Gordon is an Addiction (Substance Use Disorder) Counselor based in Santa Cruz, CA and is specialized in Addiction (Substance Use Disorder). C N Gordon practices in Santa Cruz, CA. The NPI Number for C N Gordon is 1164688446 and holds a License No. (California).

The current practice location address for C N Gordon is 707 Fair Ave, Santa Cruz, CA and can be reached out via phone at 831-427-1007.

Location: 707 Fair Ave, Santa Cruz, CA, 95060-5828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164688446
Provider Name
C N Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
707 Fair Ave, Santa Cruz, CA, 95060-5828
Phone Number
831-427-1007
Fax Number
Provider Enumeration Date
08/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03-1979 01 BA
institution
Provider Business Practice Location Address Details
Address
707 Fair Ave
City
Santa Cruz
State
California
Zip
95060-5828
Phone Number
831-427-1007
Fax Number
person
Provider Business Mailing Address Details
Address
707 Fair Ave
City
Santa Cruz
State
California
Zip
95060-5828
Phone Number
831-427-1007
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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