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1609443175
JESSE GORDON
WEST HAVEN, CT
NPI
1609443175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT 001402)
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
Mr. JESSE GORDON LADC
APT FOUNDATION 184 FRONT AVENUE
WEST HAVEN, CT 06516
Phone number: 203-781-4600
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Mailing Address
Mr. JESSE GORDON LADC
200 ELM ST APT 208
WEST HAVEN, CT 06516-4695
Phone number: 917-750-3843
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