Mitchell Maurice Gordon, CPSS, YPSS

NPI #1225997471 in Twin Falls, Idaho

Provider Information

NPI Number: 1225997471
Entity Type: Individual
Name: Mitchell Maurice Gordon, CPSS, YPSS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: CPSS, YPSS
Enumeration Date: Jan 21, 2026
Last Updated: Jan 21, 2026

Practice Location

Address: 930 SPARKS ST N
City: Twin Falls
State: Idaho
ZIP Code: 83301-3688
Phone: (385) 244-9707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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