Provider Demographics
NPI:1265395339
Name:DAILEY, SEAN ALLEN (MS, LCGC)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:ALLEN
Last Name:DAILEY
Suffix:
Gender:M
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 GUERRERO ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-3332
Mailing Address - Country:US
Mailing Address - Phone:717-579-2626
Mailing Address - Fax:
Practice Address - Street 1:316 GUERRERO ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-3332
Practice Address - Country:US
Practice Address - Phone:717-579-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAGC10194170300000X
MI7201000625170300000X
NDGC0479170300000X
OH70.000986170300000X
MTGEN-GEN-LIC-001441170300000X
NJ25MJ00105800170300000X
PAGC001077170300000X
CAGC001960170300000X
ORGCP-P-10258498170300000X
ALGC496170300000X
GA833170300000X
ID9971769170300000X
IL246001016170300000X
IN74000743A170300000X
MDG0000484170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS