Gordon, Jennifer A

Gordon, Jennifer A is an individual health care provider with primary practice located at 4295 Brockton Ave , Riverside CA 92501. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gordon, Jennifer A can be contacted via phone (951) 341-3786.

Contact Information

Primary practice address
4295 Brockton Ave Riverside CA 92501
Phone: (951) 341-3786
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California

Profile Details

NPI number 1669843124
LBN Legal business name Gordon, Jennifer A
Credentials CADC-II
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2015
Last updated Jan 26th, 2017 - about 9 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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