Doctor Name: | BRENDA C GAHAGAN |
NPI Number: | 1144206343 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 2003022745 |
Business Practice Address: | 827 W Commercial St Mansfield, MO - 657049520 |
Business Phone Number: | 4179248188 |
Business Fax Number: | 4179248190 |
Mailing Address: | 827 W Commercial St, MANSFIELD |
State: | MO |
Postal Code: | 657049520 |
Phone Number: | 4179248188 |
Fax Number: | 4179248190 |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 11/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2003022745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |