person
Susan Theresa Gordon, LADC
Addiction (Substance Use Disorder) Counselor in Fargo, North Dakota
NPI 1275729881

Susan Theresa Gordon is an Addiction (Substance Use Disorder) Counselor based in Moorhead, ND and is specialized in Addiction (Substance Use Disorder). Susan Theresa Gordon practices in Fargo, ND and has the professional credentials of LADC. The NPI Number for Susan Theresa Gordon is 1275729881 and holds a License No. 301445 (North Dakota).

The current practice location address for Susan Theresa Gordon is 4227 9Th Ave Sw, Fargo, ND and can be reached out via phone at 701-282-6561.

Location: 4227 9Th Ave Sw, Fargo, ND, 56560-2083
person
Provider Profile Details
NPI Number
1275729881
Provider Name
Susan Theresa Gordon
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
4227 9Th Ave Sw, Fargo, ND, 56560-2083
Phone Number
701-282-6561
Fax Number
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
301445 01 MN LADC
institution
Provider Business Practice Location Address Details
Address
4227 9Th Ave Sw
City
State
Zip
58103-2018
Phone Number
701-282-6561
Fax Number
person
Provider Business Mailing Address Details
Address
4227 9Th Ave Sw
City
State
Zip
58103-2018
Phone Number
701-282-6561
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
301445 (Minnesota)
Definition
Definition to come...
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