Individual provider · Type 1 NPI
Jacquelyne Gordon, LCPC
Professional Counselor · Owings, MD
NPI number
1194913665
Active
Practice location
2021 Chaneyville Rd Ste 102
Owings, MD 20736-4348
Fax (410) 286-2834
Mailing address
PO Box 630973
Baltimore, MD 21263-0973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LC2279 (MD) |
Professional Counselor: Definition to come...
Another provider at this address
Other professional counselor providers in Owings
About NPI 1194913665
Jacquelyne Gordon, LCPC's National Provider Identifier is 1194913665, issued on Oct 10, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Owings, MD. The record was last updated on Dec 6, 2007.