Individual provider · Type 1 NPI

Thomas A. Gagnon, LADC

Addiction (Substance Use Disorder) Counselor · Grand Rapids, MN

NPI number 1245448927 Active

Practice location

510 SE 13th St
Grand Rapids, MN 55744-4233

Mailing address

215 SE 2nd Ave
Grand Rapids, MN 55744-3615

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X300315 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1245448927

Thomas A. Gagnon, LADC's National Provider Identifier is 1245448927, issued on May 18, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Rapids, MN. The record was last updated on Jul 8, 2007.