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Individual

NORA GAGNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC

Contact information

Practice address
106 VINEYARD AVE, HIGHLAND, NY 12528-1422
(845) 691-9191
Mailing address
106 VINEYARD AVE, HIGHLAND, NY 12528-1422
(845) 691-9191

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24979
NY

Other

Enumeration date
10/21/2019
Last updated
10/21/2019
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