Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN GORDON
Active Sole ProprietorMarriage & Family Therapist · FT WAINWRIGHT, AK
Registration Details
- NPI Number
- 1114285020
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2012 (13.994265160554 yrs)
- Last Updated
- Dec 27, 2012
- License
-
23380 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1060 GAFFNEY RD STOP 7440FT WAINWRIGHT, AK, 997035007Browse AK providers · Browse ZIP 99703
- Phone
- 9073615418
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.