Gordon, Chandra S.

Gordon, Chandra S. is an individual health care provider with primary practice located at 1217 Bonita St , Grants NM 87020-2103. 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 / Pastoral. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gordon, Chandra S. can be contacted via phone (505) 287-2273.

Contact Information

Primary practice address
1217 Bonita St Grants NM 87020-2103
Phone: (505) 287-2273
Fax: (505) 287-2276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0137551 New Mexico
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 14967 Florida

Profile Details

NPI number 1104159060
LBN Legal business name Gordon, Chandra S.
Credentials LADAC; LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2009
Last updated Mar 21st, 2013 - about 11 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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