person
Alisha Nicole Gordon
Peer Specialist in Olympia, Washington
NPI 1326623620

Alisha Nicole Gordon is a Peer Specialist based in Olympia, WA. Alisha Nicole Gordon practices in Olympia, WA. The NPI Number for Alisha Nicole Gordon is 1326623620 and holds a License No. (Washington).

The current practice location address for Alisha Nicole Gordon is 1202 Black Lake Blvd Sw Ste B, Olympia, WA and can be reached out via phone at 360-878-8248.

Location: 1202 Black Lake Blvd Sw Ste B, Olympia, WA, 98502-7208
person
Provider Profile Details
NPI Number
1326623620
Provider Name
Alisha Nicole Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1202 Black Lake Blvd Sw Ste B, Olympia, WA, 98502-7208
Phone Number
360-878-8248
Fax Number
Provider Enumeration Date
03/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1202 Black Lake Blvd Sw Ste B
City
State
Zip
98502-7208
Phone Number
360-878-8248
Fax Number
person
Provider Business Mailing Address Details
Address
1202 Black Lake Blvd Sw Ste B
City
State
Zip
98502-7208
Phone Number
360-878-8248
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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