Individual
DANIEL TODD GAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.H.C.
Contact information
Practice address
228 MAIN ST # 185, WILLIAMSTOWN, MA 01267-2641
(518) 268-9341
Mailing address
228 MAIN ST # 185, WILLIAMSTOWN, MA 01267-2641
(518) 268-9341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC 110
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LM0412
BC/BS PIN
MA
Enumeration date
05/20/2010
Last updated
05/20/2010
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