Individual provider · Type 1 NPI
Tracey Marie Gagne, LPC
Mental Health Counselor · Decatur, GA
NPI number
1679951818
Active
Practice location
203 Adair St
Decatur, GA 30030-2940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC006060 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1679951818
Tracey Marie Gagne, LPC's National Provider Identifier is 1679951818, issued on May 7, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, GA. The record was last updated on May 7, 2015.