Gordon, Colt

Gordon, Colt is an individual health care provider with primary practice located at 627 15Th St , Cody WY 82414-3109. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gordon, Colt can be contacted via phone (619) 453-5063.

Contact Information

Primary practice address
627 15Th St Cody WY 82414-3109
Phone: (619) 453-5063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1577 Wyoming
Behavioral Health & Social Service Providers / Clinical 1041C0700X 110973 California

Profile Details

NPI number 1538762471
LBN Legal business name Gordon, Colt
Credentials LCSW 110973
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2020
Last updated Jan 31st, 2024 - about last year

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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