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Eileen Jewell Fagan, MS,NCC
Professional Counselor in Bend, Oregon
NPI 1285977553

Eileen Jewell Fagan is a Professional Counselor based in Redmond, OR and is specialized in Professional. Eileen Jewell Fagan practices in Bend, OR and has the professional credentials of MS,NCC. The NPI Number for Eileen Jewell Fagan is 1285977553 and holds a License No. C4069 (Oregon).

The current practice location address for Eileen Jewell Fagan is 339 Sw Century Dr Ste 201, Bend, OR and can be reached out via phone at 541-508-9354.

Location: 339 Sw Century Dr Ste 201, Bend, OR, 97756-7953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285977553
Provider Name
Eileen Jewell Fagan
Credential
MS,NCC
Provider Entity Type
Individual
Gender
Female
Address
339 Sw Century Dr Ste 201, Bend, OR, 97756-7953
Phone Number
541-508-9354
Fax Number
Provider Enumeration Date
04/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
339 Sw Century Dr Ste 201
City
Bend
State
Oregon
Zip
97702
Phone Number
541-508-9354
Fax Number
person
Provider Business Mailing Address Details
Address
339 Sw Century Dr Ste 201
City
Bend
State
Oregon
Zip
97702
Phone Number
541-508-9354
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C4069 (Oregon)
Definition
Definition to come...
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