Aileen Kathleen Gaynor

NPI #1619183761 in Willits, California

Provider Information

NPI Number: 1619183761
Entity Type: Individual
Name: Aileen Kathleen Gaynor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: May 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 221 S LENORE AVE # B
City: Willits
State: California
ZIP Code: 95490-3632
Phone: (707) 456-3820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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