Whalio Doctors

NPI 1114285020

Brian Gordon

Practitioner Marriage & Family Therapist Ft Wainwright, AK

Practice location

Address
1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007
Phone
(907) 361-5418

Registered specialties (2)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 23380 (CA)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Registry record

NPI
1114285020
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Apr 2012
Record last updated
27 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.