John Walls Gano, MS, NCC, LPCMH

Individual provider Active NPI Mental Health Counselor · Dover, DE

NPI 1215048962 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1215048962
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
PC-0000328 (DE)
Practice address
707 Walker Rd
Dover, DE 19904-2768
Phone
(302) 674-2380
Fax
(302) 674-1299
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC-0000328DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
F.H. Everett & Assoc. Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC-0000328 DE Yes

Addresses

Primary practice location

707 Walker Rd
Dover, DE 19904-2768

Mailing address

302 Elkton Blvd
Elkton, MD 21921-5419
Phone (410) 620-1333

Other providers in Dover, DE

All providers in Dover, DE · Mental Health Counselor in Delaware

Sources for this page

Verify at the official NPI Registry.