Gordon, Jacquelyne
Gordon, Jacquelyne is an individual health care provider with primary practice located at 2021 Chaneyville Rd Ste 102 , Owings MD 20736-4348. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gordon, Jacquelyne can be contacted via phone (410) 286-2833.Contact Information
Primary practice address
2021 Chaneyville Rd Ste 102
Owings MD 20736-4348
Phone: (410) 286-2833
Fax: (410) 286-2834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC2279 | Maryland |
Profile Details
| NPI number | 1194913665 |
|---|---|
| LBN Legal business name | Gordon, Jacquelyne |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2007 |
| Last updated | Dec 6th, 2007 - about 19 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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