Jacquelyne Gordon, LCPC

NPI #1194913665 in Owings, Maryland

Provider Information

NPI Number: 1194913665
Entity Type: Individual
Name: Jacquelyne Gordon, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Oct 10, 2007
Last Updated: Dec 6, 2007

Practice Location

Address: 2021 CHANEYVILLE RD STE 102
City: Owings
State: Maryland
ZIP Code: 20736-4348
Phone: (410) 286-2833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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