person
Mrs. Tiffany Simone Fagan, LMHC,BCBA
Mental Health Counselor in Indianapolis, Indiana
NPI 1912572660

Tiffany Simone Fagan is a Mental Health Counselor based in Indianapolis, IN and is specialized in Mental Health. Tiffany Simone Fagan practices in Indianapolis, IN and has the professional credentials of LMHC,BCBA. The NPI Number for Tiffany Simone Fagan is 1912572660 and holds a License No. 39003186A (Indiana).

The current practice location address for Tiffany Simone Fagan is 720 Eskenazi Ave, Indianapolis, IN and can be reached out via phone at 317-880-0000.

Location: 720 Eskenazi Ave, Indianapolis, IN, 46202-5187
person
Provider Profile Details
NPI Number
1912572660
Provider Name
Tiffany Simone Fagan
Credential
LMHC,BCBA
Provider Entity Type
Individual
Gender
Female
Address
720 Eskenazi Ave, Indianapolis, IN, 46202-5187
Phone Number
317-880-0000
Fax Number
Provider Enumeration Date
05/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
720 Eskenazi Ave
City
State
Zip
46202-5187
Phone Number
317-880-0000
Fax Number
person
Provider Business Mailing Address Details
Address
720 Eskenazi Ave
City
State
Zip
46202-5187
Phone Number
317-880-0000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39003186A (Indiana)
Definition
Definition to come...
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