Individual
KEVIN GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
7031 COUNTRY CLUB TER, NEW MARKET, MD 21774-6713
(443) 812-3204
Mailing address
7031 COUNTRY CLUB TER, NEW MARKET, MD 21774-6713
(443) 812-3204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC5730
MD
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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