Individual provider · Type 1 NPI

Stephanie Gagnon, LCPC

Professional Counselor · Decatur, IL

NPI number 1821778168 Active

Practice location

320 E Central Ave
Decatur, IL 62521-4665

Mailing address

2660 S Forrest Green Dr
Decatur, IL 62521-5411

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.015400 (IL)

Professional Counselor: Definition to come...

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About NPI 1821778168

Stephanie Gagnon, LCPC's National Provider Identifier is 1821778168, issued on Jul 21, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, IL. The record was last updated on Jul 21, 2023.