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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215103544 | NPPES |
| Maryland | MEDICAID | 086022100 |
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