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MS. CHANDRA S. GORDON LADAC; LPC
NPI 1104159060
Counselor - Addiction (Substance Use Disorder) in Grants, NM

Active since September 10, 2009
1217 BONITA ST, GRANTS, NM 87020(505) 287-2273(505) 287-2276 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Chandra S. Gordon Ladac; Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CHANDRA S. GORDON LADAC; LPC (NPI 1104159060) is an individual addiction (substance use disorder) provider in Grants, New Mexico, licensed in New Mexico (0137551) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1104159060
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. CHANDRA S. GORDONCredential: LADAC; LPC
Location Address1217 BONITA STGrants, NM 87020-2103
Mailing AddressPo Box 3348Milan, NM 87021-3348 · (505) 240-0823 · Fax (505) 240-0823
Phone(505) 287-2273
Fax(505) 287-2276
Sole ProprietorNo
Enumeration DateSeptember 10, 2009
Last NPPES UpdateMarch 21, 2013
✔ NPI 1104159060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NM · 0137551
Also ListedCounselor · PastoralTaxonomy 101YP1600X · License 14967 (FL)
1217 BONITA ST, Grants, NM 87020
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANN EDMUNDS HEATH MD
Family Medicine
1217 BONITA ST
GRANTS, NM 87020
Cibola County (505) 287-2950
PRESBYTERIAN MEDICAL SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
1217 BONITA ST
GRANTS, NM 87020
Cibola County (505) 287-2958
LITA C BAILLY FNP
Nurse Practitioner (Family)
1217 BONITA ST
GRANTS, NM 87020
Cibola County (505) 287-2950
WINONA L GALINDO CCHW
Community Health Worker
1217 BONITA ST
GRANTS, NM 87020
Cibola County (505) 287-2958
SHERRY ANN POLEN CNP
Nurse Practitioner (Family)
1217 BONITA ST
GRANTS, NM 87020
Cibola County (505) 287-2958
JAEWON LEE CNP
Nurse Practitioner (Family)
1217 BONITA ST
GRANTS, NM 87020
Cibola County (052) 872-9585
MS. NICOLE NEAL LPCC
Counselor (Mental Health)
1217 BONITA ST, PMS DBA WNMMG
GRANTS, NM 87020
Cibola County (505) 287-2273
ASHLEI L ALLEN
Counselor
1217 BONITA ST
GRANTS, NM 87020
Cibola County (505) 471-5006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chandra Gordon's NPI number?

The NPI number for Chandra Gordon is 1104159060. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Where is Chandra Gordon located?

Chandra Gordon practices at 1217 Bonita St, Grants, NM 87020. The listed phone number is (505) 287-2273.

What is Chandra Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Chandra Gordon was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.