Individual
MS. LISA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
2225 N CHARLES ST, BALTIMORE, MD 21218-5778
(410) 366-4360
(410) 366-4134
Mailing address
1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
(410) 453-9553
(443) 612-1488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LC3402
MD
Other
Enumeration date
11/17/2010
Last updated
10/20/2015
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