Individual
MR. JOHN GORDON BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
11604 LAKEWATER LN, COLUMBIA, MD 21044-4355
(410) 739-2511
Mailing address
11604 LAKEWATER LN, COLUMBIA, MD 21044-4355
(410) 739-2511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15578
MD
Other
Enumeration date
10/02/2023
Last updated
01/23/2025
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