person
Amy Elizabeth Gordon, MALMHCCDP
Substance Use Disorder Rehabilitation Clinic/Center in Kingston, Washington
NPI 1447574439

Amy Elizabeth Gordon is a Substance Use Disorder Rehabilitation Clinic/Center based in Chimacum, WA and is specialized in Rehabilitation, Substance Use Disorder. Amy Elizabeth Gordon practices in Kingston, WA and has the professional credentials of MALMHCCDP. The NPI Number for Amy Elizabeth Gordon is 1447574439 and holds a License No. LH 00007718 (Washington).

The current practice location address for Amy Elizabeth Gordon is 31912 Little Boston Rd Ne, Kingston, WA and can be reached out via phone at 360-633-0099.

Location: 31912 Little Boston Rd Ne, Kingston, WA, 98325-7719
person
Provider Profile Details
NPI Number
1447574439
Provider Name
Amy Elizabeth Gordon
Credential
MALMHCCDP
Provider Entity Type
Individual
Gender
Female
Address
31912 Little Boston Rd Ne, Kingston, WA, 98325-7719
Phone Number
360-633-0099
Fax Number
Provider Enumeration Date
03/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31912 Little Boston Rd Ne
City
State
Zip
98346-9700
Phone Number
360-633-0099
Fax Number
person
Provider Business Mailing Address Details
Address
31912 Little Boston Rd Ne
City
State
Zip
98346-9700
Phone Number
360-633-0099
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
CP 00004065 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
LH 00007718 (Washington)
Definition
Definition to come...
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