Provider Demographics
NPI:1760106694
Name:BRAINERD, DANIEL S
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:S
Last Name:BRAINERD
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:DAN
Other - Middle Name:S
Other - Last Name:BRAINERD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4 FIELD ST
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:MA
Mailing Address - Zip Code:01226-1531
Mailing Address - Country:US
Mailing Address - Phone:413-329-6722
Mailing Address - Fax:
Practice Address - Street 1:66 WEST ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5861
Practice Address - Country:US
Practice Address - Phone:413-499-0412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor