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NPI Code Detail

MEDICARE: HANNAH GORDON

MEDICARE: HANNAH GORDON
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
1101YM0800XMental Health Counselor0022348CO

General Provider Information

NPI Number : 1356187645
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH GORDON
Provider Business Mailing Address
First Line : 2950 BRIGHTON BLVD UNIT 225
Second Line :
City : DENVER
State : CO
Zip : 80216-5416
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2460 W 26TH AVE STE 30C
Second Line :
City : DENVER
State : CO
Zip : 80211-5340
Country : US
Telephone Number : 720-306-1383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2024
Last Update Date : 07/05/2024

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Directions to “ HANNAH GORDON ” Practice Location

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