Cundiff, Gordonia

Cundiff, Gordonia is an individual health care provider with primary practice located at 2 Dever St , Dorchester MA 02122-1841. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Cundiff, Gordonia can be contacted via phone (617) 652-4556.

Contact Information

Primary practice address
2 Dever St Dorchester MA 02122-1841
Phone: (617) 652-4556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 13422 Massachusetts

Profile Details

NPI number 1982196341
LBN Legal business name Cundiff, Gordonia
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2018
Last updated Feb 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982196341 NPPES
Massachusetts Other 920550590 BEHAVIORAL HEALTH

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