Tyrell Gordon

NPI #1447675699 in Hingham, Massachusetts

Provider Information

NPI Number: 1447675699
Entity Type: Individual
Name: Tyrell Gordon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 25, 2014
Last Updated: Feb 25, 2014

Practice Location

Address: 100 BEAL ST
City: Hingham
State: Massachusetts
ZIP Code: 02043-1540
Phone: (617) 851-5260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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