Provider Demographics
NPI:1184197998
Name:GAFFNEY CONSULTATION AND COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:GAFFNEY CONSULTATION AND COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTOR, INDIVIDUAL
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAFFNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-770-3795
Mailing Address - Street 1:907 27TH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-5602
Mailing Address - Country:US
Mailing Address - Phone:603-770-3795
Mailing Address - Fax:
Practice Address - Street 1:907 27TH ST APT 4
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-5602
Practice Address - Country:US
Practice Address - Phone:603-770-3795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty