Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLAIM THOMAS FAGAN, LPC
ActiveWILLAIM THOMAS FAGAN, LPC is a Professional Counselor healthcare provider located in BEND, Oregon. NPI 1588905319 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · BEND, OR
Registration Details
- NPI Number
- 1588905319
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 4, 2013 (13.420735008704 yrs)
- Last Updated
- Aug 15, 2019
- Licenses
-
R2719 (OR)C4302 (OR)
Practice Information
- Address
-
1569 SW NANCY WAYBEND, OR, 977023234Browse OR providers · Browse ZIP 97702
- Phone
- 5416170377
- Fax
- 5416170377
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in BEND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. SYLVIA DIANNE HENDERSON | LPC | 1528040730 |
| JOSIE JUHASZ | MACP | 1194736264 |
| TONI BERUBE | — | 1023118023 |
| SUSAN KOLB | MS, LPC | 1396829602 |
| VIKKI L RULLMAN | QMHP, CADC I | 1366500787 |
| JEANIE BETH BAKKER | M.A., L.P.C. | 1770645863 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.