Individual provider · Type 1 NPI
Amy Gagnon
Addiction (Substance Use Disorder) Counselor · Manchester, NH
NPI number
1194124461
Active
Practice location
267 Webster St
Manchester, NH 03104-2758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1194124461
Amy Gagnon's National Provider Identifier is 1194124461, issued on Aug 22, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Manchester, NH. The record was last updated on Aug 22, 2014.