MICHAEL GORDON CAC-AD
NPI 1992451892
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD
Active since March 01, 2022
About Michael Gordon Cac-ad NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL GORDON CAC-AD (NPI 1992451892) is an individual addiction (substance use disorder) provider in Baltimore, Maryland and active in the NPI registry since March 2022.
NPPES Registry Identity
NPI1992451892
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL GORDONCredential: CAC-AD
Location Address21 W 25TH STBaltimore, MD 21218-5003
Mailing Address21 W 25th StBaltimore, MD 21218-5003 · (410) 366-1717
Phone(410) 366-1717
Sole ProprietorNo
Enumeration DateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
✔ NPI 1992451892 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
21 W 25TH ST, Baltimore, MD 21218
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Rehabilitation, Substance Use Disorder)
21 W 25TH ST
BALTIMORE, MD 21218
BALTIMORE, MD 21218
Psychiatry & Neurology (Psychiatry)
21 W 25TH ST
BALTIMORE, MD 21218
BALTIMORE, MD 21218
Clinic/Center (Mental Health (Including Community Mental Health Center))
21 W 25TH ST
BALTIMORE, MD 21218
BALTIMORE, MD 21218
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992451892, enumerated as an "individual" on March 01, 2022.
The provider is located at 21 W 25TH ST BALTIMORE, MD 21218 and the phone number is (410) 366-1717.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
