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Individual

CHARTYISE FAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., LPC

Contact information

Practice address
830 N SUMMIT ST STE 2, TOLEDO, OH 43604-1884
(419) 693-9600
Mailing address
830 N SUMMIT ST STE 2, TOLEDO, OH 43604-1884
(419) 693-9600

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2305417
OH

Other

Enumeration date
08/29/2023
Last updated
06/24/2024
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