Gadson, Da'Mond O

Gadson, Da'Mond O is an individual health care provider with primary practice located at 2202 W Mcdowell Rd , Phoenix AZ 85009-3009. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gadson, Da'Mond O can be contacted via phone (602) 518-0214.

Contact Information

Primary practice address
2202 W Mcdowell Rd Phoenix AZ 85009-3009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-15178 Arizona

Profile Details

NPI number 1447690268
LBN Legal business name Gadson, Da'Mond O
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2013
Last updated Jul 21st, 2020 - about 6 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 1447690268 NPPES
Arizona Other 008085 AHCCCS
Arizona MEDICAID 935106 AHCCCS

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