Provider Demographics
NPI:1790440659
Name:GORDON, VALERIE E (MA)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:E
Last Name:GORDON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 MERCER AVE
Mailing Address - Street 2:
Mailing Address - City:FARRELL
Mailing Address - State:PA
Mailing Address - Zip Code:16121-2505
Mailing Address - Country:US
Mailing Address - Phone:724-981-9815
Mailing Address - Fax:724-981-2293
Practice Address - Street 1:1914 MERCER AVE
Practice Address - Street 2:
Practice Address - City:FARRELL
Practice Address - State:PA
Practice Address - Zip Code:16121-2505
Practice Address - Country:US
Practice Address - Phone:724-981-9815
Practice Address - Fax:724-981-2293
Is Sole Proprietor?:No
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)