Individual
JAY GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 OLD SOUND RD, JOPPA, MD 21085-4524
(315) 317-0310
Mailing address
37 OLD SOUND RD, JOPPA, MD 21085-4524
(315) 317-0310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC10626
MD
101YP2500X
Professional Counselor
Primary
LGP8768
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-3876389
—
MD
Enumeration date
07/06/2018
Last updated
03/24/2026
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