National Provider Identifier
Tryceena Marie Gordon
Tryceena Marie Gordon is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 368-6901.
Profile Overview
- NPI
- 1669007985
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- March 06, 2020
- Last Updated
- March 06, 2020
Practice Location
- 81 Lake Ave
- Rochester, NY 14608-1410
Phone: (585) 368-6901
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1669007985
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Tryceena
- Middle Name
- Marie
- Mailing Street Address
- 81 Lake Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-1410
- Mailing Country
- US
- Mailing Phone
- (585) 368-6901
- Mailing Fax
- (585) 546-5806
- Practice Street Address
- 81 Lake Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-1410
- Practice Country
- US
- Practice Phone
- (585) 368-6901
- Practice Fax
- (585) 546-5806
- Enumeration Date
- March 06, 2020
- Last Updated
- March 06, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 06, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Mental Health Counselor (101YM0800X)