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Dan Fagerness
Mental Health Counselor in Centralia, Washington
NPI 1356875371

Dan Fagerness is a Mental Health Counselor based in Centralia, WA and is specialized in Mental Health. Dan Fagerness practices in Centralia, WA. The NPI Number for Dan Fagerness is 1356875371 and holds a License No. (Washington).

The current practice location address for Dan Fagerness is 2428 W Reynolds Ave, Centralia, WA and can be reached out via phone at 360-330-9044.

Location: 2428 W Reynolds Ave, Centralia, WA, 98531-4554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356875371
Provider Name
Dan Fagerness
Credential
Provider Entity Type
Individual
Gender
Male
Address
2428 W Reynolds Ave, Centralia, WA, 98531-4554
Phone Number
360-330-9044
Fax Number
Provider Enumeration Date
04/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
person
Provider Business Mailing Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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