Individual provider · Type 1 NPI

Stacey Gordon

Mental Health Counselor · Marriottsville, MD

NPI number 1639936065 Active

Practice location

11155 Stratfield Ct
Marriottsville, MD 21104-1650

Call (443) 718-9197 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLGP14889 (MD)

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1639936065

Stacey Gordon's National Provider Identifier is 1639936065, issued on Mar 4, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marriottsville, MD. The record was last updated on Mar 4, 2024.