Individual provider · Type 1 NPI

Erik Michael Gagnon

Mental Health Counselor · Phoenix, AZ

NPI number 1861018079 Active

Practice location

3821 N 15th Ave
Phoenix, AZ 85015-5545

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLISAC-10189 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1861018079

Erik Michael Gagnon's National Provider Identifier is 1861018079, issued on Jun 23, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 2, 2021.