Gordon, Amy Elizabeth

Gordon, Amy Elizabeth is an sole proprietor health care provider with primary practice located at 31912 Little Boston Rd Ne , Kingston WA 98346-9700. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is her primary health care specialty. Gordon, Amy Elizabeth can be contacted via phone (360) 633-0099.

Contact Information

Primary practice address
31912 Little Boston Rd Ne Kingston WA 98346-9700
Phone: (360) 633-0099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X LH 00007718 Washington
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X CP 00004065 Washington

Profile Details

NPI number 1447574439
LBN Legal business name Gordon, Amy Elizabeth
Credentials M.A. L.M.H.C. C.D.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2010
Last updated Mar 18th, 2010 - about 14 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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