person
Jacqueline Ann Gordon
Addiction (Substance Use Disorder) Counselor in Dayton, Ohio
NPI 1528551330

Jacqueline Ann Gordon is an Addiction (Substance Use Disorder) Counselor based in Dayton, OH and is specialized in Addiction (Substance Use Disorder). Jacqueline Ann Gordon practices in Dayton, OH. The NPI Number for Jacqueline Ann Gordon is 1528551330 and holds a License No. 161448 (Ohio).

The current practice location address for Jacqueline Ann Gordon is 7301 Poe Ave, Dayton, OH and can be reached out via phone at 937-280-4631.

Location: 7301 Poe Ave, Dayton, OH, 45414-2559
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Provider Profile Details
NPI Number
1528551330
Provider Name
Jacqueline Ann Gordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
7301 Poe Ave, Dayton, OH, 45414-2559
Phone Number
937-280-4631
Fax Number
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
161448 05 OH
institution
Provider Business Practice Location Address Details
Address
7301 Poe Ave
City
State
Zip
45414-2559
Phone Number
937-280-4631
Fax Number
person
Provider Business Mailing Address Details
Address
7301 Poe Ave
City
State
Zip
45414-2559
Phone Number
937-280-4631
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
161448 (Ohio)
Definition
Definition to come...
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