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Timothy E Gannon
Counselor in Worcester, Massachusetts
NPI 1356676936

Timothy E Gannon is a Counselor based in Worcester, MA. Timothy E Gannon practices in Worcester, MA. The NPI Number for Timothy E Gannon is 1356676936 and holds a License No. (Massachusetts).

The current practice location address for Timothy E Gannon is 86 Plantation St., Worcester, MA and can be reached out via phone at 508-459-0739.

Location: 86 Plantation St., Worcester, MA, 01604-3024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356676936
Provider Name
Timothy E Gannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
86 Plantation St., Worcester, MA, 01604-3024
Phone Number
508-459-0739
Fax Number
Provider Enumeration Date
10/15/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
86 Plantation St.
City
Worcester
State
Massachusetts
Zip
01604
Phone Number
508-459-0739
Fax Number
person
Provider Business Mailing Address Details
Address
86 Plantation St.
City
Worcester
State
Massachusetts
Zip
01604
Phone Number
508-459-0739
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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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