Individual
ROBERT CHARLES GAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
415 N 26TH ST STE 201, LAFAYETTE, IN 47904-2856
(765) 337-3301
Mailing address
415 N 26TH ST STE 201, LAFAYETTE, IN 47904-2856
(866) 682-5539
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001827A
IN
Other
Enumeration date
08/11/2025
Last updated
08/19/2025
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