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Individual
RACHEL FAGAN
Active
Individual
RACHEL FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPCC.0014708
CO
101YP2500X
Professional Counselor
Primary
LPC.0014896
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O779067
—
CO
Enumeration date
09/08/2014
Last updated
12/26/2024
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