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Octavia D Gordon
Counselor in Holyoke, Massachusetts
NPI 1467066480

Octavia D Gordon is a Counselor based in West Springfield, MA. Octavia D Gordon practices in Holyoke, MA. The NPI Number for Octavia D Gordon is 1467066480 and holds a License No. (Massachusetts).

The current practice location address for Octavia D Gordon is 80 Commercial St, Holyoke, MA and can be reached out via phone at 413-846-0445.

Location: 80 Commercial St, Holyoke, MA, 01089-5003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467066480
Provider Name
Octavia D Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
80 Commercial St, Holyoke, MA, 01089-5003
Phone Number
413-846-0445
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y10086 01 MA MEDICARE
1134107113 05 MA
institution
Provider Business Practice Location Address Details
Address
80 Commercial St
City
Holyoke
State
Massachusetts
Zip
01040-4704
Phone Number
413-846-0445
Fax Number
person
Provider Business Mailing Address Details
Address
80 Commercial St
City
Holyoke
State
Massachusetts
Zip
01040-4704
Phone Number
413-846-0445
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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