Individual
MR. ANTHONY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
120 S HAYS ST, BEL AIR, MD 21014-3615
(410) 877-1027
(410) 420-3435
Mailing address
120 S HAYS ST, BEL AIR, MD 21014-3615
(410) 877-1027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC10489
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC10489
STATE LICENSE
MD
Enumeration date
06/08/2020
Last updated
06/08/2020
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