Individual provider · Type 1 NPI

Kelly Sue Pacheco- Gagner, M.S., LPCC

Professional Counselor · Los Angeles, CA

NPI number 1437661402 Active

Practice location

6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815

Call (925) 282-1778 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800X17859 (CA)
Professional Counselor 101YP2500XC9686 (OR)
Professional Counselor Primary 101YP2500X17859 (CA)

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About NPI 1437661402

Kelly Sue Pacheco- Gagner, M.S., LPCC's National Provider Identifier is 1437661402, issued on Oct 31, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 22, 2025.