Individual
MR. ALDIN LESLIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1407 LOCHNER RD, BALTIMORE, MD 21239-2932
(443) 475-0338
(410) 878-0382
Mailing address
1407 LOCHNER RD STE 0, BALTIMORE, MD 21239-2932
(443) 475-0338
(410) 878-0382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC4829
MD
101YP2500X
Professional Counselor
LC4829
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LC4829
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086022100
—
MD
Enumeration date
05/06/2008
Last updated
09/14/2023
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