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Joseph Gordon
Peer Specialist in Flint, Michigan
NPI 1710626262

Joseph Gordon is a Peer Specialist based in Flint, MI. Joseph Gordon practices in Flint, MI. The NPI Number for Joseph Gordon is 1710626262 and holds a License No. (Michigan).

The current practice location address for Joseph Gordon is 1108 Lapeer Rd, Flint, MI and can be reached out via phone at 810-232-7919 and via fax at 810-232-7913.

Location: 1108 Lapeer Rd, Flint, MI, 48502-2002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710626262
Provider Name
Joseph Gordon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1108 Lapeer Rd, Flint, MI, 48502-2002
Phone Number
810-232-7919
Fax Number
810-232-7913
Provider Enumeration Date
06/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1108 Lapeer Rd
City
Flint
State
Michigan
Zip
48503-2704
Phone Number
810-232-7919
Fax Number
810-232-7913
person
Provider Business Mailing Address Details
Address
1108 Lapeer Rd
City
Flint
State
Michigan
Zip
48503-2704
Phone Number
810-232-7919
Fax Number
810-232-7913
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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