Provider Demographics
NPI:1932487188
Name:GORDON, ALMAREE (CSAC)
Entity Type:Individual
Prefix:
First Name:ALMAREE
Middle Name:
Last Name:GORDON
Suffix:
Gender:F
Credentials:CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4006 BARRETT DR
Mailing Address - Street 2:STE 101
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6617
Mailing Address - Country:US
Mailing Address - Phone:919-862-6968
Mailing Address - Fax:919-786-4460
Practice Address - Street 1:4006 BARRETT DR
Practice Address - Street 2:STE 101
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6617
Practice Address - Country:US
Practice Address - Phone:919-862-6968
Practice Address - Fax:919-786-4460
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)