| Ms Judi Marie Gordon, RN, LADC | |
|
1911 Pleasant Ave. South, Create, Inc, Minneapolis, MN 55403 | |
| (612) 874-9811 | |
| (612) 874-9820 |
| Full Name | Ms Judi Marie Gordon |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1911 Pleasant Ave. South, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679750608 | NPI | - | NPPES |
| 300170 | Other | MN | LADC |
| R-062487-1 | Other | MN | REGISTERED NURSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300170 (Minnesota) | Primary |
| 163W00000X | Registered Nurse | R-062487-1 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Judi Marie Gordon, RN, LADC 1911 Pleasant Ave. South, Create, Inc, Minneapolis, MN 55403 Ph: (612) 874-9811 | Ms Judi Marie Gordon, RN, LADC 1911 Pleasant Ave. South, Create, Inc, Minneapolis, MN 55403 Ph: (612) 874-9811 |
Nelson Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 E Lake St, Minneapolis, MN 55407 Phone: 612-746-3500 Fax: 612-871-1058 | |
Daniel James Madsen, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 510 1st Ave N Ste 601, Minneapolis, MN 55403 Phone: 612-367-6929 | |
Claire Marie Olson, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5812 Lyndale Ave S, Minneapolis, MN 55419 Phone: 612-243-4108 Fax: 612-869-0313 | |
Luke Yost, Counselor Medicare: Medicare Enrolled Practice Location: 621 W Lake St, Minneapolis, MN 55408 Phone: 507-530-5507 | |
Mrs. Carmody Alice Sime, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-432-2008 | |
Heather Grovum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W 48th St, Minneapolis, MN 55419 Phone: 701-740-4783 | |
Sumaya Yusuf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 5th St Ne Ste 201, Minneapolis, MN 55418 Phone: 651-855-8209 |