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Joseph Lorn Gordon III
Addiction (Substance Use Disorder) Counselor in Ceres, California
NPI 1902543176

Joseph Lorn Gordon III is an Addiction (Substance Use Disorder) Counselor based in Ceres, CA and is specialized in Addiction (Substance Use Disorder). Joseph Lorn Gordon III practices in Ceres, CA. The NPI Number for Joseph Lorn Gordon III is 1902543176 and holds a License No. SUDRC12754 (California).

The current practice location address for Joseph Lorn Gordon III is 1768 Mitchell Rd Ste 301, Ceres, CA and can be reached out via phone at 209-353-4838.

Location: 1768 Mitchell Rd Ste 301, Ceres, CA, 95307-2156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902543176
Provider Name
Joseph Lorn Gordon III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1768 Mitchell Rd Ste 301, Ceres, CA, 95307-2156
Phone Number
209-353-4838
Fax Number
Provider Enumeration Date
05/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1768 Mitchell Rd Ste 301
City
Ceres
State
California
Zip
95307-2156
Phone Number
209-353-4838
Fax Number
person
Provider Business Mailing Address Details
Address
1768 Mitchell Rd Ste 301
City
Ceres
State
California
Zip
95307-2156
Phone Number
209-353-4838
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
SUDRC12754 (California)
Definition
Definition to come...
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