Individual
MS. BARBARA ANN FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
845 CENTRAL AVE, ALBANY, NY 12206-1514
(518) 458-8888
(518) 482-2458
Mailing address
845 CENTRAL AVE, ALBANY, NY 12206-1514
(518) 458-8888
(518) 482-2458
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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