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Individual
MICHELLE GAGNON
Active
Individual
MICHELLE GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
143959
CA
106H00000X
Marriage & Family Therapist
Primary
164065
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01536011
MEDICAL
—
Enumeration date
09/26/2022
Last updated
07/06/2026
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