person
Melissa L Fagan, LMHC
Professional Counselor in Albuquerque, New Mexico
NPI 1235210543

Melissa L Fagan is a Professional Counselor based in Albuquerque, NM and is specialized in Professional. Melissa L Fagan practices in Albuquerque, NM and has the professional credentials of LMHC. The NPI Number for Melissa L Fagan is 1235210543 and holds a License No. 0184771 (New Mexico).

The current practice location address for Melissa L Fagan is 3901 Louisiana Blvd Ne Ste C, Albuquerque, NM and can be reached out via phone at 505-888-1686 and via fax at 505-888-1683. You can also correspond with Melissa L Fagan through the mailing address at 3901 LOUISIANA BLVD NE STE C, ALBUQUERQUE, NM - 87110-1448 (mailing address contact number: 505-888-1686).

Location: 3901 Louisiana Blvd Ne Ste C, Albuquerque, NM, 87110-1448
person
Provider Profile Details
NPI Number
1235210543
Provider Name
Melissa L Fagan
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
3901 Louisiana Blvd Ne Ste C, Albuquerque, NM, 87110-1448
Phone Number
505-888-1686
Fax Number
505-888-1683
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64079775 05 NM
institution
Provider Business Practice Location Address Details
Address
3901 Louisiana Blvd Ne Ste C
City
State
Zip
87110-1448
Phone Number
505-888-1686
Fax Number
505-888-1683
person
Provider Business Mailing Address Details
Address
3901 Louisiana Blvd Ne Ste C
City
State
Zip
87110-1448
Phone Number
505-888-1686
Fax Number
505-888-1683
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0184771 (New Mexico)
Definition
Definition to come...
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