NPI | 1407464076 |
---|---|
Other Name | JESSICA LYN GAGNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10001238) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MA LMHC10001238) |
Enumeration Date | 2020-07-20 |
Last Update Date | 2025-03-20 |