Individual provider · Type 1 NPI
Jodie Michelle Gordon, LCSW-C
Mental Health Counselor · Baltimore, MD
NPI number
1710603089
Active
Practice location
5002 A Lawndale Ave
Baltimore, MD 21210
Mailing address
4708 Roland Ave 3
Baltimore, MD 21210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 10139 (MD) |
Mental Health Counselor: Definition to come...
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About NPI 1710603089
Jodie Michelle Gordon, LCSW-C's National Provider Identifier is 1710603089, issued on Oct 18, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baltimore, MD. The record was last updated on Oct 18, 2022.