Individual provider · Type 1 NPI

Gavin Elijah McConnell, LCPC

Mental Health Counselor · Oakland, MD

NPI number 1053167262 Active

Practice location

1025 Memorial Dr
Oakland, MD 21550-4343

Fax (301) 334-7681

Mailing address

PO Box 158
Grantsville, MD 21536-0158

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC18324 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1053167262

Gavin Elijah McConnell, LCPC's National Provider Identifier is 1053167262, issued on Apr 29, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oakland, MD. The record was last updated on Aug 14, 2026.