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NPI Code Detail

MEDICARE: VALERIE LUCILLE GORDON CADC-CAS

MEDICARE: VALERIE LUCILLE GORDON CADC-CAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorC051870418CA

General Provider Information

NPI Number : 1669547154
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE LUCILLE GORDON CADC-CAS
Provider Business Mailing Address
First Line : 1018 21ST ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-4709
Country : US
Telephone Number : 661-861-9967
Fax Number : 661-861-0339
Provider Business Practice Location Address
First Line : 1018 21ST ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-4709
Country : US
Telephone Number : 661-861-9967
Fax Number : 661-861-0339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 07/23/2025

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Directions to “ VALERIE LUCILLE GORDON CADC-CAS” Practice Location

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