| NPI | 1407464076 |
|---|---|
| Other Name | JESSICA LYN GAGNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA LMHC10001238) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-01-12 |