Gordon, Aldin Leslie

Gordon, Aldin Leslie is an sole proprietor health care provider with primary practice located at 1407 Lochner Rd , Baltimore MD 21239-2932. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is his primary health care specialty. Gordon, Aldin Leslie can be contacted via phone (443) 475-0338.

Contact Information

Primary practice address
1407 Lochner Rd Baltimore MD 21239-2932
Phone: (443) 475-0338
Fax: (410) 878-0382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC4829 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC4829 Maryland
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X LC4829 Maryland

Profile Details

NPI number 1215103544
LBN Legal business name Gordon, Aldin Leslie
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2008
Last updated Sep 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215103544 NPPES
Maryland MEDICAID 086022100

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