person
Kenneth C Fagan
Professional Counselor in Enfield, Connecticut
NPI 1740052919

Kenneth C Fagan is a Professional Counselor based in Windsor, CT and is specialized in Professional. Kenneth C Fagan practices in Enfield, CT. The NPI Number for Kenneth C Fagan is 1740052919 and holds a License No. (Connecticut).

The current practice location address for Kenneth C Fagan is 153 Hazard Ave, Enfield, CT and can be reached out via phone at 860-731-5522 and via fax at 860-731-5536. You can also correspond with Kenneth C Fagan through the mailing address at 2 WATERSIDE XING STE 401, WINDSOR, CT - 06095-1588 (mailing address contact number: 860-731-5522).

Location: 153 Hazard Ave, Enfield, CT, 06095-1588
person
Provider Profile Details
NPI Number
1740052919
Provider Name
Kenneth C Fagan
Credential
Provider Entity Type
Individual
Gender
Male
Address
153 Hazard Ave, Enfield, CT, 06095-1588
Phone Number
860-731-5522
Fax Number
860-731-5536
Provider Enumeration Date
10/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
153 Hazard Ave
City
State
Zip
06082-4592
Phone Number
860-731-5522
Fax Number
860-731-5536
person
Provider Business Mailing Address Details
Address
153 Hazard Ave
City
State
Zip
06082-4592
Phone Number
860-731-5522
Fax Number
860-731-5536
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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