Individual
JEAN ELIZABETH FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
4058A RHODE ISLAND DR, DOVER, DE 19901-6334
(302) 538-0316
Mailing address
4058A RHODE ISLAND DR, DOVER, DE 19901-6334
(302) 538-0316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2356
DE
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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