Individual provider · Type 1 NPI
Jodyan K. Gaynor, MA
Professional Counselor · West Hartford, CT
NPI number
1508132630
Active
Practice location
998 Farmington Ave Ste 104
West Hartford, CT 06107-2184
Fax (888) 772-1877
Other practice locations
- 39 Orchard St, East Hartford, CT 06108-2123 · (203) 936-8818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 068.0135631 (VT) |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | 003029 (CT) |
| Professional Counselor Primary | 101YP2500X | LPC015144 (GA) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1508132630
Jodyan K. Gaynor, MA's National Provider Identifier is 1508132630, issued on Mar 22, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Hartford, CT. The record was last updated on Aug 30, 2025.