AMY ELIZABETH GORDON

KINGSTON, WA
NPI1447574439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder
(Licence: WA  CP 00004065)
Additional Taxonomies261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
(Licence: WA  LH 00007718)
Enumeration Date2010-03-18
Last Update Date2010-03-18
Business Address
AMY ELIZABETH GORDON M.A. L.M.H.C. C.D.P.
31912 LITTLE BOSTON RD NE
KINGSTON, WA 98346-9700
Phone number: 360-633-0099
Mailing Address
AMY ELIZABETH GORDON M.A. L.M.H.C. C.D.P.
84 BARN SWALLOW RD
CHIMACUM, WA 98325-7719
Phone number:
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