Individual provider · Type 1 NPI

Kylie Madison Gough

Marriage & Family Therapist · Rosedale, MD

NPI number 1982564035 Active

Practice location

9627 Philadelphia Rd Ste 160
Rosedale, MD 21237-4157

Fax (410) 780-5205

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X1156 (MD)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1982564035

Kylie Madison Gough's National Provider Identifier is 1982564035, issued on Nov 12, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Rosedale, MD. The record was last updated on Nov 12, 2025.