Julian Gordon, ASW | |
1910 California St, Eureka, CA 95501-2870 | |
(707) 443-9747 | |
Not Available |
Full Name | Julian Gordon |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1910 California St, Eureka, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679238034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 97434 (California) | Primary |
Entity Name | Humboldt Senior Resource Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356599278 PECOS PAC ID: 6305235755 Enrollment ID: O20211105001210 |
Mailing Address | Practice Location Address |
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Julian Gordon, ASW 1910 California St, Eureka, CA 95501-2870 Ph: (707) 443-9747 | Julian Gordon, ASW 1910 California St, Eureka, CA 95501-2870 Ph: (707) 443-9747 |
Ms. Debbra Melody Haven, PSYD PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-441-1624 Fax: 707-441-1253 | |
Jacquelyn White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990 | |
Ralph Christopher Dicaprio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 California St, Eureka, CA 95501 Phone: 707-443-8322 | |
Brandon Edward Tomlin, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-441-1624 Fax: 707-441-1253 | |
Mrs. Breana Kirschner, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 F St Ste F, Eureka, CA 95501 Phone: 707-390-0393 | |
Katy Ann Norlin, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 7th St, Eureka, CA 95501 Phone: 707-269-2916 | |
Scott W Landis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990 |