Dr. Dezire' Martineay Gordon
Professional Counselor Addiction Counselor (Substance Use Disorder) Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
2440 M St
Merced
, California 95340-2827
Dr. Dezire' Martineay Gordon
Professional Counselor Addiction Counselor (Substance Use Disorder) Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
2440 M St
Merced
, California 95340-2827
(562) 984-5610
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Professional Counselor
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Dezire' Martineay Gordon
- 3474 Floresta Ave
- Los Angeles, CA
- Zip : 90043-1812
- Fax : (562) 984-5610
- Phone : (562) 428-4111
Second Address
- Dr. Dezire' Martineay Gordon
- 2440 M St
- Merced, CA
- Zip : 95340-2827
- Phone : (209) 617-1529
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | RA897812 | CA |
| N | 101YP2500X | Professional Counselor | 178.003764 | IL |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 17815 | IL |
| Y | 103G00000X | Clinical Psychologist | PSY28775 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY28775 | CA |
National Provider Identifier
| NPI | 1255683561 |
|---|---|
| Provider Name | Dr. Dezire' Martineay Gordon |
| First Address | Los Angeles, CA 90043-1812 |
| Second Address | Merced, CA 95340-2827 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2012 |
| Last Update Date | 15/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.