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Search › California › Addiction (Substance Use Disorder) Counselor

Evan Gordon

NPI 1114312683 · on the registry since 2015

Practice

Address
4900 Serrania Ave
Woodland Hills, CA 91364
Phone
(818) 347-1577
Organisation at this address
Pacific Lodge Youth Services
Optimist Boys Home & Ranch, Inc.
Optimist Boys' Home & Ranch, Inc.
Optimist Boys' Home And Ranch, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
79

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-01
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California