Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE GORDON, MA
ActiveBLAKE GORDON, MA is a Counselor healthcare provider located in SANTA FE, New Mexico. NPI 1720362072 is currently active in the NPPES registry. Verify at CMS.
Counselor · SANTA FE, NM
Registration Details
- NPI Number
- 1720362072
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2011 (14.849546454738 yrs)
- Last Updated
- Dec 18, 2018
Practice Information
- Address
-
3 CALIENTE RD STE 7SANTA FE, NM, 875089208Browse NM providers · Browse ZIP 87508
- Phone
- 5058200477
- Fax
- 5058200467
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS EDWARD WELTER | MC LPCC | 1316937956 |
| MARCIE P BROOKS | LPCC | 1811961592 |
| PAOLO GIUDICI | LPCC, LADAC | 1144235896 |
| MS. DEBRA R THOMPSON | LPCC, LPAT, ATR-BC | 1225131873 |
| MR. LARRY ALAN RAYBURN | M.A. | 1447328406 |
| WENDY BLAKE | — | 1700946514 |
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.