IndividualActive
Glenn Gordon, LADC, MHRT-CSP
NPI 1063264083 · Addiction (Substance Use Disorder) Counselor · Rumford, ME
Provider details
- NPI number
- 1063264083
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LADC, MHRT-CSP
- Sex
- Male
- Sole proprietor
- No
- License
- LC8262 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
150 Congress St
Rumford, ME 04276-2035
Phone: (207) 357-1751
Approximate (ZIP-level) locationGet directions
Mailing address
150 Congress St
Rumford, ME 04276-2035
Registry dates
- Enumerated
- 2024-04-03
- Last updated
- 2024-04-03
- Certified
- 2024-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.