Larry Anthony Gamble, L.C.S.W.-C.
Counselor, Mental Health in Rockville, MD. Individual provider (NPI-1).
NPI number1720165574
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720165574
- Entity type
- Individual (NPI-1)
- Name
- Mr. Larry Anthony Gamble
- Credential
- L.C.S.W.-C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 09477 | MD | Yes |
Practice location
751 Twinbrook Pkwy Ste 2Rockville, MD 20851-1499
Phone 240-281-4513
Mailing address
14127 Yorkshire Woods DrSilver Spring, MD 20906-2872
Phone 240-777-1444 · Fax 240-777-3381
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