Aubrie Catheryn Gordon | Las Vegas, NV • PECOS Search

Aubrie Catheryn Gordon

Counselor

Behavioral Health & Social Service Providers

916 W Owens Ave, Las Vegas, NV 89106-2516

(702) 636-3000 (702) 363-2281

PECOS Enrollment

Based on the most recent information from CMS, provider Aubrie Catheryn Gordon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1407953367
Provider Type
Individual
Full Name
Gordon, Aubrie Catheryn
Title
Dr.
Credential
EDD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/20/2006
Last Updated
7/8/2007

Contact Information

Practice Location

916 W Owens Ave, Las Vegas, NV 89106-2516

Unlisted Fax

Mailing Location

1350 N Town Center Dr, Apt 3090, Las Vegas, NV 89144-0575

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 6801009582 Michigan