Individual
NATHANIEL GAUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
5054 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7744
(410) 838-9500
Mailing address
5054 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7744
(410) 838-9500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP15694
MD
Other
Enumeration date
08/26/2021
Last updated
10/21/2024
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