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Natasha Charlene Gordon
Peer Specialist in Crestline, California
NPI 1518697549

Natasha Charlene Gordon is a Peer Specialist based in Crestline, CA. Natasha Charlene Gordon practices in Crestline, CA. The NPI Number for Natasha Charlene Gordon is 1518697549 and holds a License No. (California).

The current practice location address for Natasha Charlene Gordon is 340 Hwy 138, Crestline, CA and can be reached out via phone at 909-336-3330.

Location: 340 Hwy 138, Crestline, CA, 92325-6300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518697549
Provider Name
Natasha Charlene Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
340 Hwy 138, Crestline, CA, 92325-6300
Phone Number
909-336-3330
Fax Number
Provider Enumeration Date
06/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
340 Hwy 138
City
Crestline
State
California
Zip
92325
Phone Number
909-336-3330
Fax Number
person
Provider Business Mailing Address Details
Address
340 Hwy 138
City
Crestline
State
California
Zip
92325
Phone Number
909-336-3330
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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