Individual
DANIEL ROSSARIO GAITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LISW-CP
Contact information
Practice address
4016 CONANT RD, MOUNT PLEASANT, SC 29466-7178
(203) 994-2987
Mailing address
4016 CONANT RD, MOUNT PLEASANT, SC 29466-7178
(203) 994-2987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12302
SC
1041C0700X
Clinical Social Worker
Primary
12302
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1490
—
SC
Enumeration date
05/04/2018
Last updated
12/18/2020
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