Provider Demographics
NPI:1275422693
Name:GORDON, CHRISTINA A (MSW, CAADC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:A
Last Name:GORDON
Suffix:
Gender:F
Credentials:MSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 FREDERICK ST STE 3
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-3709
Mailing Address - Country:US
Mailing Address - Phone:717-969-2894
Mailing Address - Fax:717-969-2897
Practice Address - Street 1:300 FREDERICK ST STE 3
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3709
Practice Address - Country:US
Practice Address - Phone:717-969-2894
Practice Address - Fax:717-969-2897
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9205101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)