Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Athena A Gordon, MS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376082685

Athena A Gordon, MS is an Addiction (Substance Use Disorder) Counselor in Centralia, Illinois. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

904 E Martin Luther King Dr
Centralia, IL 62801
Phone: (618) 533-1391
Fax: (618) 533-0012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1376082685
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedFebruary 20, 2017
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023
Mailing address904 E. Martin Luther King Drive, Centralia, IL 62801

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