| Julian Gordon, ASW | |
|
1910 California St, Eureka, CA 95501-2870 | |
| (707) 443-9747 | |
| Not Available |
| Full Name | Julian Gordon |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 5 Years |
| Location | 1910 California St, Eureka, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679238034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 97434 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Humboldt Senior Resource Center Incorporated | 6305235755 | 4 |
| Entity Name | Humboldt Senior Resource Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356599278 PECOS PAC ID: 6305235755 Enrollment ID: O20211105001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Julian Gordon, ASW 1910 California St, Eureka, CA 95501-2870 Ph: (707) 443-9747 | Julian Gordon, ASW 1910 California St, Eureka, CA 95501-2870 Ph: (707) 443-9747 |
Ms. Debbra Melody Haven, PSYD PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-441-1624 Fax: 707-441-1253 | |
Jacquelyn White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990 | |
Ralph Christopher Dicaprio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 California St, Eureka, CA 95501 Phone: 707-443-8322 | |
Brandon Edward Tomlin, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-441-1624 Fax: 707-441-1253 | |
Mrs. Breana Kirschner, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 F St Ste F, Eureka, CA 95501 Phone: 707-390-0393 | |
Katy Ann Norlin, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 7th St, Eureka, CA 95501 Phone: 707-269-2916 | |
Scott W Landis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990 |