JEFF GORDON MBA
NPI 1093652067
Counselor - Professional in Hyattsville, MD
- Individual
- Male
- Counselor
- Professional
About JEFF GORDON
This page provides the complete NPI Profile along with additional information for Jeff Gordon, a provider established in Hyattsville, Maryland with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1093652067 assigned on April 2026. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and his NPI record was last updated April 2026.
- NPI
- 1093652067 Verify this NPI
- Provider Name
- JEFF GORDON MBA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4301 GARDEN CITY DR STE 201 HYATTSVILLE, MD 20785
- Location Phone
- (443) 839-0012
- Mailing Address
- 4301 GARDEN CITY DR STE 201 HYATTSVILLE, MD 20785
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-29-2026
- Last Update Date
- 04-29-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License State
- MD
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
HYATTSVILLE, MD 20785
HYATTSVILLE, MD 20785
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093652067, enumerated as an "individual" on April 29, 2026.
The provider is located at 4301 GARDEN CITY DR STE 201 HYATTSVILLE, MD 20785 and the phone number is (443) 839-0012.
Counselor with taxonomy code 101YP2500X and a focus in Professional.