Dr. Jan Gagnon
Naturopath Behavior Technician
41521 W 11 Mile Rd
Novi
, Michigan 48375-1803
Dr. Jan Gagnon
Naturopath Behavior Technician
41521 W 11 Mile Rd
Novi
, Michigan 48375-1803
(360) 859-3784
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About
Features
Specialties
- Behavior Technician
- Naturopath
Languages spoken
- English
Location
First Address
- Dr. Jan Gagnon
- 12503 Se Mill Plain Blvd # 215a
- Vancouver, WA
- Zip : 98684-4009
- Fax : (360) 859-3784
- Phone : (360) 448-6353
Second Address
- Dr. Jan Gagnon
- 41521 W 11 Mile Rd
- Novi, MI
- Zip : 48375-1803
- Phone : (248) 299-0030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | ||
| N | 175F00000X | Naturopath | 00000518 | WA |
National Provider Identifier
| NPI | 1063931970 |
|---|---|
| Provider Name | Dr. Jan Gagnon |
| First Address | Vancouver, WA 98684-4009 |
| Second Address | Novi, MI 48375-1803 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2017 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.