Gordon, Anne M

Gordon, Anne M is an sole proprietor health care provider with primary practice located at 101 E Broadway St Ste 511 , Missoula MT 59802-4510. 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 / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gordon, Anne M can be contacted via phone (406) 370-6251.

Contact Information

Primary practice address
101 E Broadway St Ste 511 Missoula MT 59802-4510
Phone: (406) 370-6251
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 820 Montana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 441 Montana

Profile Details

NPI number 1265594972
LBN Legal business name Gordon, Anne M
Credentials LCSW, LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1265594972 NPPES
Montana MEDICAID 0026364
Montana Other 71465

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