Individual
JODYAN K GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
998 FARMINGTON AVE STE 104, WEST HARTFORD, CT 06107-2184
(860) 592-1030
(888) 772-1877
Mailing address
998 FARMINGTON AVE STE 104, WEST HARTFORD, CT 06107-2184
(860) 592-1030
(888) 772-1877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068.0135631
VT
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
003029
CT
101YP2500X
Professional Counselor
Primary
LPC015144
GA
Other
Enumeration date
03/22/2012
Last updated
08/30/2025
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