Vargas no longer sees patients, though in the past he has treated gambling addiction from slot machines, table games and lottery scratch tickets “There's definitely many, many more people with problem gambling,” said Enrique Vargas, a clinical supervisor at Gandara. The Gandara Center is one of the only mental health clinics in Springfield, Massachusetts, that offers treatment for problem gambling.īut even there, about a mile from the MGM Springfield casino, there’s only one clinician certified in gambling treatment. This is the second in a three-part series.