person
Mrs. Shirley L Gordon, CAC,CMHT,CPRS
Addiction (Substance Use Disorder) Counselor in Annapolis, Maryland
NPI 1003485962

Shirley L Gordon is an Addiction (Substance Use Disorder) Counselor based in Annapolis, MD and is specialized in Addiction (Substance Use Disorder). Shirley L Gordon practices in Annapolis, MD and has the professional credentials of CAC,CMHT,CPRS. The NPI Number for Shirley L Gordon is 1003485962 and holds a License No. (Maryland).

The current practice location address for Shirley L Gordon is 92 W Washington St, Annapolis, MD and can be reached out via phone at 443-949-9545 and via fax at 240-366-0055. You can also correspond with Shirley L Gordon through the mailing address at 55 CLAY ST, ANNAPOLIS, MD - 21401-2402 (mailing address contact number: 443-949-9545).

Location: 92 W Washington St, Annapolis, MD, 21401-2402
person
Provider Profile Details
NPI Number
1003485962
Provider Name
Shirley L Gordon
Credential
CAC,CMHT,CPRS
Provider Entity Type
Individual
Gender
Female
Address
92 W Washington St, Annapolis, MD, 21401-2402
Phone Number
443-949-9545
Fax Number
240-366-0055
Provider Enumeration Date
06/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G635765549569 01 MD STATE ISSUED ID
institution
Provider Business Practice Location Address Details
Address
92 W Washington St
City
State
Zip
21401-2432
Phone Number
443-949-9545
Fax Number
240-366-0055
person
Provider Business Mailing Address Details
Address
92 W Washington St
City
State
Zip
21401-2432
Phone Number
443-949-9545
Fax Number
240-366-0055
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(District of Columbia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(District of Columbia)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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