person
Mr. Hiram Glenn Gooch JR., MSSW
Mental Health Counselor in Hagerstown, Maryland
NPI 1700982220

Hiram Glenn Gooch JR. is a Mental Health Counselor based in Martinsburg, MD and is specialized in Mental Health. Hiram Glenn Gooch JR. practices in Hagerstown, MD and has the professional credentials of MSSW. The NPI Number for Hiram Glenn Gooch JR. is 1700982220 and holds a License No. CPE0938475 (Maryland).

The current practice location address for Hiram Glenn Gooch JR. is 1101 Opal Ct, Hagerstown, MD and can be reached out via phone at 301-665-1462 and via fax at 301-665-1682.

Location: 1101 Opal Ct, Hagerstown, MD, 25401-7040
person
Provider Profile Details
NPI Number
1700982220
Provider Name
Hiram Glenn Gooch JR.
Credential
MSSW
Provider Entity Type
Individual
Gender
Male
Address
1101 Opal Ct, Hagerstown, MD, 25401-7040
Phone Number
301-665-1462
Fax Number
301-665-1682
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1101 Opal Ct
City
State
Zip
21740-5941
Phone Number
301-665-1462
Fax Number
301-665-1682
person
Provider Business Mailing Address Details
Address
1101 Opal Ct
City
State
Zip
21740-5941
Phone Number
301-665-1462
Fax Number
301-665-1682
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CPE0938475 (West Virginia)
Definition
Definition to come...
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