Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ALICIA MARY FAGAN, LCSW
ActiveMS. ALICIA MARY FAGAN, LCSW is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SOUTHINGTON, Connecticut. NPI 1629157615 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SOUTHINGTON, CT
Registration Details
- NPI Number
- 1629157615
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2006 (19.7613415347 yrs)
- Last Updated
- Jan 6, 2012
- Licenses
-
000422 (CT)000618 (CT)
Practice Information
- Address
-
51 NORTH MAIN STREETSTE 2CSOUTHINGTON, CT, 06489Browse CT providers · Browse ZIP 06489
- Phone
- 8606212280
- Fax
- 8606280219
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Clinical Social Worker
Other Addiction (Substance Use Disorder) Counselor Providers in SOUTHINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| MS. KAREN A DAIGLE DESTEFANO | LADC, LPC | 1679710164 |
| ALBERT YOUNG | LADC | 1659606838 |
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.