Individual provider · Type 1 NPI
Ellen B. Gordon, L.M.H.C.
Mental Health Counselor · East Meadow, NY
NPI number
1164033254
Active
Practice location
533 Wagstaff Drive
East Meadow, NY 11554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 002057-1 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1164033254
Ellen B. Gordon, L.M.H.C.'s National Provider Identifier is 1164033254, issued on Aug 12, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Meadow, NY. The record was last updated on Aug 12, 2020.