Gagnon, Charles Alfred

Gagnon, Charles Alfred is an sole proprietor health care provider with primary practice located at 403 N 6Th St Unit 2 , West Monroe LA 71291-4119. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gagnon, Charles Alfred can be contacted via phone (318) 680-0094.

Contact Information

Primary practice address
403 N 6Th St Unit 2 West Monroe LA 71291-4119
Phone: (318) 680-0094
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 72518 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 1973 Louisiana

Profile Details

NPI number 1154310175
LBN Legal business name Gagnon, Charles Alfred
Credentials ED. D., LPC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated Sep 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154310175 NPPES
Other 33683 NTNL. CERT. COUNSELOR
Other 1973 NTNL. CERT. COUNSELOR
Other 33683 NTNL. CERT. COUNSELOR

Popular Providers