Individual provider · Type 1 NPI

Mark Anthony George Gagnon Jr., LCSW

Mental Health Counselor · Merritt Island, FL

NPI number 1467229401 Active

Practice location

240 Bonita Dr
Merritt Island, FL 32952-5102

Call (321) 355-2157 Map

Mailing address

2875 S Orange Ave Ste 500
Orlando, FL 32806-5455

Other practice locations

  • 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 · (941) 776-4000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XSW22246 (FL)
Mental Health Counselor Primary 101YM0800XSW22246 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1467229401

Mark Anthony George Gagnon Jr., LCSW's National Provider Identifier is 1467229401, issued on Dec 11, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Merritt Island, FL. The record was last updated on Apr 18, 2024.