Individual
CHANTAL M. GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MA, LMHC
Contact information
Practice address
600 N PINE ISLAND RD, SUITE 450, PLANTATION, FL 33324-1393
(954) 559-2936
Mailing address
7378 W ATLANTIC BLVD, SUITE 388, MARGATE, FL 33063-4214
(954) 559-2936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9510
FL
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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