Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Timothy E Gannon

Individual provider Counselor · NPI 1356676936

Timothy E Gannon is a Counselor in Worcester, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

86 Plantation St
Worcester, MA 01604 Not confirmed with CMS for 17 years — call before visiting
Phone: (508) 459-0739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1356676936
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 15, 2009
Last updated in NPPESOctober 15, 2009

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