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Ellen B. Gordon, L.M.H.C.

Counselor, Mental Health in East Meadow, NY. Individual provider (NPI-1).

NPI number1164033254
StatusActive
Last updated in NPPESAug 12, 2020

Details

NPI
1164033254
Entity type
Individual (NPI-1)
Name
Ms. Ellen B. Gordon
Credential
L.M.H.C.
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 12, 2020
Certification date
Aug 12, 2020
Last updated
Aug 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health002057-1NYYes

Practice location

533 Wagstaff Drive
East Meadow, NY 11554

Phone 516-319-3649

Mailing address

533 Wagstaff Drive
East Meadow, NY 11554

Phone 516-783-0242

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Other Mental Health Counselor providers in East Meadow, NY

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