National Provider Identifier
Brandon Gordon
Brandon Gordon is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Avon, NY and a listed phone number of (585) 658-0900.
Profile Overview
- NPI
- 1811603053
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- January 30, 2023
- Last Updated
- January 30, 2023
Practice Location
- Ur/Noyes Mental Health & Wellness
- 5712 Tec Drive
- Avon, NY 14414
Phone: (585) 658-0900
Mailing Address
- 2 Fuller Pl
- Rochester, NY 14608-2929
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1811603053
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Brandon
- Mailing Street Address
- 2 Fuller Pl
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-2929
- Mailing Country
- US
- Mailing Phone
- (585) 626-2480
- Practice Street Address
- Ur/Noyes Mental Health & Wellness
- Practice Address Line 2
- 5712 Tec Drive
- Practice City
- Avon
- Practice State
- NY
- Practice ZIP Code
- 14414
- Practice Country
- US
- Practice Phone
- (585) 658-0900
- Enumeration Date
- January 30, 2023
- Last Updated
- January 30, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 23, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)