Individual provider · Type 1 NPI

Timothy E. Gannon

Counselor · Worcester, MA

NPI number 1356676936 Active

Practice location

86 Plantation St.
Worcester, MA 01604

Call (508) 459-0739 Map

Mailing address

86 Plantation St
Worcester, MA 01604-3024

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1356676936

Timothy E. Gannon's National Provider Identifier is 1356676936, issued on Oct 15, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Worcester, MA. The record was last updated on Oct 15, 2009.