JOSEPH LORN GORDON

CERES, CA
NPI1902543176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  SUDRC12754)
Enumeration Date2022-05-18
Last Update Date2022-05-18
Business Address
JOSEPH LORN GORDON
1768 MITCHELL RD STE 301
CERES, CA 95307-2156
Phone number: 209-353-4838
Mailing Address
JOSEPH LORN GORDON
1768 MITCHELL RD STE 301
CERES, CA 95307-2156
Phone number:
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