Provider Demographics
NPI:1396565768
Name:MORRIN, GABRIELLE (LCPC)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:MORRIN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14617 CAMBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-3729
Mailing Address - Country:US
Mailing Address - Phone:419-344-1028
Mailing Address - Fax:
Practice Address - Street 1:640 E DIAMOND AVE STE D
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-5331
Practice Address - Country:US
Practice Address - Phone:301-252-9048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC15810101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional