Individual
MRS. JENNIFER GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA, APS
Contact information
Practice address
7400 HUNTINGTON PARK DR, COLUMBUS, OH 43235-5617
(678) 580-8970
Mailing address
5730 ROCHE DR APT D, COLUMBUS, OH 43229-4237
(678) 580-8970
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183569
OH
Other
Enumeration date
04/20/2022
Last updated
02/17/2024
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