person
Willaim Thomas Fagan, LPC
Professional Counselor in Bend, Oregon
NPI 1588905319

Willaim Thomas Fagan is a Professional Counselor based in Redmond, OR and is specialized in Professional. Willaim Thomas Fagan practices in Bend, OR and has the professional credentials of LPC. The NPI Number for Willaim Thomas Fagan is 1588905319 and holds a License No. R2719 (Oregon).

The current practice location address for Willaim Thomas Fagan is 1569 Sw Nancy Way, Bend, OR and can be reached out via phone at 541-617-0377 and via fax at 541-617-0377.

Location: 1569 Sw Nancy Way, Bend, OR, 97756-7953
person
Provider Profile Details
NPI Number
1588905319
Provider Name
Willaim Thomas Fagan
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1569 Sw Nancy Way, Bend, OR, 97756-7953
Phone Number
541-617-0377
Fax Number
541-617-0377
Provider Enumeration Date
03/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1569 Sw Nancy Way
City
State
Zip
97702-3234
Phone Number
541-617-0377
Fax Number
541-617-0377
person
Provider Business Mailing Address Details
Address
1569 Sw Nancy Way
City
State
Zip
97702-3234
Phone Number
541-617-0377
Fax Number
541-617-0377
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C4302 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
R2719 (Oregon)
Definition
Definition to come...
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