person
Mrs. Shane Sibley Fagan, LCSW
Mental Health Counselor in Alexandria, Virginia
NPI 1629228101

Shane Sibley Fagan is a Mental Health Counselor based in Alexandria, VA and is specialized in Mental Health. Shane Sibley Fagan practices in Alexandria, VA and has the professional credentials of LCSW. The NPI Number for Shane Sibley Fagan is 1629228101 and holds a License No. 0904005331 (Virginia).

The current practice location address for Shane Sibley Fagan is 919 Duke St, Alexandria, VA and can be reached out via phone at 703-864-6794.

Location: 919 Duke St, Alexandria, VA, 22302-3222
person
Provider Profile Details
NPI Number
1629228101
Provider Name
Shane Sibley Fagan
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
919 Duke St, Alexandria, VA, 22302-3222
Phone Number
703-864-6794
Fax Number
Provider Enumeration Date
09/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
919 Duke St
City
State
Zip
22314-3648
Phone Number
703-864-6794
Fax Number
person
Provider Business Mailing Address Details
Address
919 Duke St
City
State
Zip
22314-3648
Phone Number
703-864-6794
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0904005331 (Virginia)
Definition
Definition to come...
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