Individual provider · Type 1 NPI

Mary Beryl Gagnon, B.A.

Mental Health Counselor · Milwaukee, WI

NPI number 1972707271 Active

Practice location

4929 W Fond Du Lac Ave
Milwaukee, WI 53216-2324

Call (414) 871-6122 Map

Mailing address

4223 W Martin Dr, Apt. 302
Milwaukee, WI 53208-2762

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972707271

Mary Beryl Gagnon, B.A.'s National Provider Identifier is 1972707271, issued on Jun 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.